Individual
JOANNA LEIGH PHELPS BRUDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1658 ST VINCENTS WAY STE 100B, MIDDLEBURG, FL 32068-8459
(904) 214-3313
(904) 406-0913
Mailing address
1658 ST VINCENTS WAY STE 100B, MIDDLEBURG, FL 32068-8459
(904) 214-3313
(904) 406-0913
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA28925
FL
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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