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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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.

Request for update

Popular Providers