Individual
BRIAN FRANKLIN PETRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4205 BELFORT RD, SUITE 1100, JACKSONVILLE, FL 32216
(904) 296-3103
(904) 296-3106
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104481
FL
363AS0400X
Surgical Physician Assistant
PA9104481
FL
Other
Enumeration date
03/24/2008
Last updated
10/09/2020
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