Bryner, Charles Leslie

Bryner, Charles Leslie is an individual health care provider with primary practice located at 606 Chivas Ct , Orange Park FL 32073-4227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bryner, Charles Leslie can be contacted via phone (904) 542-3500.

Contact Information

Primary practice address
606 Chivas Ct Orange Park FL 32073-4227
Phone: (904) 542-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME61834 Florida

Profile Details

NPI number 1205894300
LBN Legal business name Bryner, Charles Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 20th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205894300 NPPES
Florida MEDICAID 271490600

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