Kaufman, Bryan Lee

Kaufman, Bryan Lee is an individual health care provider with primary practice located at 4136 Stowe Run Ln , Jacksonville FL 32225-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kaufman, Bryan Lee can be contacted via phone (828) 389-9740.

Contact Information

Primary practice address
4136 Stowe Run Ln Jacksonville FL 32225-1622
Phone: (828) 389-9740
Fax: (866) 735-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME74867 Florida

Profile Details

NPI number 1881691764
LBN Legal business name Kaufman, Bryan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 13th, 2017 - about 9 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 1881691764 NPPES
Other 300110020 RR
Other 43420 RR
MEDICAID 259066200 RR

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