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General NPI Number Information
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NPI Number | 1326199720
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Entity Type | Organization
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Legal Business Name | ANTHONY BRIGNONI, MD, PA
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 10/27/2008
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Provider Practice Location Address
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Address Line | 2300 LOVELAND BLVD SUITE 1
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City | PORT CHAROLOTTE
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State | FL
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Zip | 33980
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Country | US
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Telephone | 941-743-6866
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Fax | 941-743-8598
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Provider Business Mailing Address
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Address Line | 2300 LOVELAND BLVD SUITE 1
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City | PORT CHAROLOTTE
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State | FL
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Zip | 33980
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Country | US
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Telephone | 941-743-6866
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Fax | 941-743-8598
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | ANTHONY BRIGNONI
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Credential | MD
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Telephone | 941-743-6866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME59140
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License Number State | FL
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