Brazell, Meredith Johnston

Brazell, Meredith Johnston is an individual health care provider with primary practice located at 120 Palencia Village Dr Ste 107 , St Augustine FL 32095-8553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brazell, Meredith Johnston can be contacted via phone (904) 819-3200.

Contact Information

Primary practice address
120 Palencia Village Dr Ste 107 St Augustine FL 32095-8553
Phone: (904) 819-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS15757 Florida

Profile Details

NPI number 1073952909
LBN Legal business name Brazell, Meredith Johnston
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Dec 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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