Individual
MR. BRIAN EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1 ORTHOPAEDIC PL, SAINT AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 825-2490
Mailing address
1 ORTHOPAEDIC PL, SAINT AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 825-2490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03180173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JJ982Y
MEDICARE
FL
Enumeration date
03/16/2018
Last updated
07/08/2019
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