BRIAN G. FABIAN MD PA
Medical Practice at Tamiami Trl, Bonita Springs, FL

License number
Florida M75652
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. LUCY FABIAN RN
Title: PRACTICE MANAGER
Phone: (239) 949-0742
Address
Address
26800 S Tamiami Trl #310, Bonita Springs, FL 34134
National Provider ID: 1578994372
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN G. FABIAN, MD, PA

26800 S Tamiami Trl SUITE 310, Bonita Springs, FL 34134

Registration:
Jun 11, 2003
State ID:
P03000064558
Business type:
Florida Profit Corporation
President:
Brian G Fabian (President), 7119 Wild Frst Ct #101, Naples, FL 34109 (Physical)
Agent:
Fabian, Lucena,7119 Wild Frst C #101, Naples, FL 34109 (Physical)
EIN:
562339210
Categories:
Dermatology Physicians & Surgeons, General Surgeons, Oncology Physicians & Surgeons, ...
Specialties:
Skin Diseases
Brands:
Mohs Micrographic Surgery
Products:
Mohs Micrographic Surgery, Skin Surgery, Specializing in the Treatment of Skin Cancer, ...
Certifications:
Board Certified in Dermatology
Additional:
Training Henry Hospitals - University of Louisville - US Air Force

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