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Individual

DR. BRANDI GILCHRIST BRIMBLECOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8364
(904) 396-5682
Mailing address
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8364
(904) 396-5682

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME119627
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003149817B
GA
05
012379600
FL
Enumeration date
03/28/2011
Last updated
09/30/2019
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