Individual
RYAN SCOTT BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3817
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3817
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME150326
FL
207P00000X
Emergency Medicine Physician
TRN26408
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN26408
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2018
Last updated
06/23/2021
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