Individual provider · Type 1 NPI

Brian John Fazzone, MD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1639669690 Active

Practice location

1515 SW Archer Rd
Gainesville, FL 32608-1134

Call (352) 265-0916 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639669690

Brian John Fazzone, MD's National Provider Identifier is 1639669690, issued on May 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on May 15, 2018.