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Contact Information

FRED H BRENNAN JR, DO
807 N MYRTLE AVE
CLEARWATER, FL33755-4254
 Phone: 727-467-2400
 Fax: 727-467-2477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FRED H BRENNAN JR · (Male)

NPI # 1043282767
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/06/2006
Last updated 03/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS14442
  • ME License # 2066
  • NH License # 13446
  • VA License # 0102201136
  • FL Medicaid 021438100
  • ME Medicaid 432690199
  • NH Medicaid 30225211
Hospital affiliation(s)
  • MORTON PLANT HOSPITAL - (Acute Care)
    300 PINELLAS ST
    CLEARWATER, FL 33756
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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