Individual
BRANDON EDWARD KUEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
PO BOX 746645, ATLANTA, GA 30374-6645
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243850
VA
2080P0202X
Pediatric Cardiology Physician
65697
GA
2080P0202X
Pediatric Cardiology Physician
Primary
ME109642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538376496
—
VA
Enumeration date
05/17/2007
Last updated
08/08/2024
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