Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | OS0006649 | FL |
N | 207RX0202X | Medical Oncology | OS6649 | FL |
NPI | 1013915636 |
---|---|
Provider Name | Rogelio A Brito |
First Address | Fort Myers, FL 33907-1412 |
Second Address | Boynton Beach, FL 33435-7501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 28/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14390 | DIMENSION (01) | FL |
260470 | AVMED (01) | FL |
5957667 | AETNA (01) | FL |
6648362 | CIGNA (01) | FL |
80895 | BCBS (01) | FL |
F81470 | (02) | FL |
P01594398 | RR MEDICARE (01) | FL |
P971525 | OPTIMUM (01) | FL |
P995707 | FREEDOM (01) | FL |