Individual
DR. NICHOLAS JOHN BREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1699 S 14TH ST STE 16, FERNANDINA BEACH, FL 32034-1965
(904) 223-3321
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME126043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108108900
—
FL
Enumeration date
12/20/2006
Last updated
09/29/2022
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