Individual
DR. JOHN ROBERT BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1032 MAR WALT DR, STE 220, FORT WALTON BEACH, FL 32547-6645
(850) 796-3737
(850) 796-3739
Mailing address
1032 MAR WALT DR, STE 220, FORT WALTON BEACH, FL 32547-6645
(850) 796-3737
(850) 796-3739
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME92355
FL
Other
Enumeration date
06/23/2005
Last updated
10/16/2007
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