Puckett, Brett Christopher

Puckett, Brett Christopher is an individual health care provider with primary practice located at 2627 Riverside Ave Suite 300, Jacksonville FL 32204-4712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Puckett, Brett Christopher can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
2627 Riverside Ave Suite 300 Jacksonville FL 32204-4712
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME91111 Florida

Profile Details

NPI number 1831150960
LBN Legal business name Puckett, Brett Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 28th, 2025 - about last year

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 1831150960 NPPES
Florida MEDICAID 108047100

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