Individual
DR. RONALD J BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
PO BOX 350085, JACKSONVILLE, FL 32235-0085
(904) 854-7911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101050336
VA
207P00000X
Emergency Medicine Physician
43376
MN
207P00000X
Emergency Medicine Physician
Primary
ME120282
FL
207P00000X
Emergency Medicine Physician
Q2644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003156123A
—
GA
05
—
014057200
—
FL
05
—
988148400
—
MN
Enumeration date
03/29/2006
Last updated
12/31/2024
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