Provider Demographics
NPI:1780608042
Name:SWEET, BRIAN P (DO)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:P
Last Name:SWEET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-468-0260
Mailing Address - Fax:239-343-4254
Practice Address - Street 1:3501 HEALTH CENTER BLVD STE 2180
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:34135-8133
Practice Address - Country:US
Practice Address - Phone:239-468-0260
Practice Address - Fax:239-343-4254
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15157207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051526159OtherBCBS
FL024849100Medicaid
G37531Medicare UPIN