Individual
DR. JEFFREY T OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 S COURTENAY PKWY, SUITE 200, MERRITT ISLAND, FL 32952-4977
(321) 394-2660
(321) 394-2669
Mailing address
650 S COURTENAY PKWY, SUITE 200, MERRITT ISLAND, FL 32952-4977
(321) 394-2660
(321) 394-2669
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME70348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114494800
—
FL
01
—
NS048
FL MEDICARE
FL
01
—
P00013560
MEDICARE RAILROAD
FL
Enumeration date
02/08/2006
Last updated
09/09/2022
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