John R. Brent Md Pa

LBN: John R. Brent Md Pa
John R. Brent Md Pa is an health care organization with primary practice located at 1032 Mar Walt Dr Suite 220, Fort Walton Beach FL 32547-6661. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John R. Brent Md Pa can be contacted via phone (850) 796-3737, or through Brent, John R via phone (850) 796-3737.

Contact Information

Primary practice address
1032 Mar Walt Dr Suite 220 Fort Walton Beach FL 32547-6661
Phone: (850) 796-3737
Fax: (850) 796-3739
Website:
Map and Directions
Authorized official contact:
Name: Brent, John R M.D., P.A.
Phone: (850) 796-3737

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME92355 Florida

Profile Details

NPI number 1679762611
LBN Legal business name John R. Brent Md Pa
DBA Doing business as
Authorized official Brent, John R M.D., P.A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Jan 15th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679762611 NPPES
Other ME92355 MEDICAL LICENSE

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