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Individual

DR. ASHTON CHASE BRINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
695 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-2515
(407) 774-7080
(407) 774-7090
Mailing address
695 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-2515
(407) 774-7080
(407) 774-7090

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME86123
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266079200
FL
01
62812U
MEDICARE
FL
Enumeration date
03/07/2006
Last updated
10/02/2015
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