Individual
BRETT CHRISTOPHER PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627 RIVERSIDE AVE, SUITE 300, JACKSONVILLE, FL 32204-4712
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME91111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108047100
—
FL
Enumeration date
03/29/2006
Last updated
07/28/2025
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