Provider Demographics
NPI:1669527974
Name:BRENNAN, FRANCES ELAINE (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:ELAINE
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1717 N E ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6336
Mailing Address - Country:US
Mailing Address - Phone:850-438-2015
Mailing Address - Fax:850-438-4998
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:SUITE 206
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6336
Practice Address - Country:US
Practice Address - Phone:850-438-2015
Practice Address - Fax:850-438-4998
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2009-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL16798207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055889300Medicaid
FL17328Medicare PIN
FL055889300Medicaid