Kent Thomas Braeutigam in Orange Park - General Practice
Kent Thomas Braeutigam - NPI 1063437861
Kent Thomas Braeutigam is a General Practice in Orange Park, Florida. Kent Thomas Braeutigam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kent Thomas Braeutigam is 1063437861. The last update date is 2022-09-15.
Kent Thomas Braeutigam's current location address is 705 Wells Rd Ste 300, Orange Park, Florida. You can contact this provider via phone number 9042826331 and fax number 9042824117. The mailing address for Kent Thomas Braeutigam is 705 Wells Rd Ste 300, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Thomas Braeutigam |
|---|---|
| Address | 705 Wells Rd Ste 300, Orange Park, Florida |
| Phone Number | 9042826331 |
| Fax Number | 9042824117 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1063437861 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2022-09-15 |
Provider Mailing Address Detail
| Address | 705 Wells Rd Ste 300 |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320732982 |
| Phone Number | 9042826331 |
| Fax Number | 9042824117 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | OS5110 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46178400 | FL | -- |
Post Comment/ Review Below
What is the Kent Thomas Braeutigam's 1063437861?
The Kent Thomas Braeutigam's NPI (National Provider Identifier) Number is 1063437861. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kent Thomas Braeutigam?
The Kent Thomas Braeutigam is physically situated at 705 Wells Rd Ste 300, in the city of Orange Park, state of FL, with the postal code 320732982.
What is Kent Thomas Braeutigam's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kent Thomas Braeutigam is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063437861 to Kent Thomas Braeutigam?
The Centers for Medicare & Medicaid Services assigned the 1063437861 to Kent Thomas Braeutigam on 2006-07-13.
As of what date was the information regarding Kent Thomas Braeutigam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kent Thomas Braeutigam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-15.