Bremer, Nicholas John

Bremer, Nicholas John is an individual health care provider with primary practice located at 1699 S 14Th St Ste 16 , Fernandina Beach FL 32034-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bremer, Nicholas John can be contacted via phone (904) 223-3321.

Contact Information

Primary practice address
1699 S 14Th St Ste 16 Fernandina Beach FL 32034-1965
Phone: (904) 223-3321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME126043 Florida

Profile Details

NPI number 1083778468
LBN Legal business name Bremer, Nicholas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 29th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083778468 NPPES
Florida MEDICAID 108108900

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