Brent, John Robert
Brent, John Robert is an sole proprietor health care provider with primary practice located at 1032 Mar Walt Dr Ste 220, Fort Walton Beach FL 32547-6645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brent, John Robert can be contacted via phone (850) 796-3737.Contact Information
Primary practice address
1032 Mar Walt Dr Ste 220
Fort Walton Beach FL 32547-6645
Phone: (850) 796-3737
Fax: (850) 796-3739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME92355 | Florida |
Profile Details
NPI number | 1609872688 |
---|---|
LBN Legal business name | Brent, John Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2005 |
Last updated | Oct 16th, 2007 - about 17 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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