MEDICARE: DR. BRIAN DANIEL KURLAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	ME66590	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528045747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN DANIEL KURLAND M.D.

Provider Business Mailing Address
First Line	:	13782 PLANTATION RD
Second Line	:	SUITE 103
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4462
Country	:	US
Telephone Number	:	239-936-8575
Fax Number	:	239-936-7664

Provider Business Practice Location Address
First Line	:	13782 PLANTATION RD
Second Line	:	UNIT103
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4462
Country	:	US
Telephone Number	:	239-936-8575
Fax Number	:	239-936-7664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	08/10/2021

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