Kent Thomas Braeutigam D.O.

NPI 1063437861 - Family Medicine - 207Q00000X

NPI Details
NPI 1063437861
Gender Male
Enumeration Date 07/13/2006
Last Updated 08/18/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3839 COUNTY ROAD 218
MIDDLEBURG FL, 32068-5708, US
Phone (904) 282-5474
Fax (904) 282-5824
Business Location
PO BOX 850001
ORLANDO FL, 32885-0192, US
Phone (904) 282-6331
Fax (904) 282-4117
Taxonomy Code 207Q00000X
License State Florida
License Number OS5110
Remove 1063437861 NPI Number

According to our database, Dr. Kent Thomas Braeutigam D.O. NPI is 1063437861, taxonomy code is 207Q00000X and license number is OS5110, license state is located at Florida. Kent Thomas Braeutigam D.O. physically located at 3839 County Road 218, Middleburg FL, 32068-5708. NPI Number Kent Thomas Braeutigam D.O. has the Individual type.

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1063437861 NPI number is provided on an as is basis without warranty of any kind. 1063437861 is maintained by the National Plan & Provider Enumeration System. The contents of Kent Thomas Braeutigam D.O. are for informational purposes only.