Organization · Type 2 NPI

John R. Brent MD PA

Specialist · Fort Walton Beach, FL

NPI number 1679762611 Active

Practice location

1032 Mar Walt Dr, Suite 220
Fort Walton Beach, FL 32547-6661

Call (850) 796-3737 Map

Fax (850) 796-3739

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME92355 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679762611

John R. Brent MD PA's National Provider Identifier is 1679762611, issued on Oct 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jan 15, 2013.