Individual
ALLEN T BRASINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6021 NW 1ST PL, GAINESVILLE, FL 32607
(352) 331-1902
(352) 331-1906
Mailing address
6021 NW 1ST PLACE, GAINESVILLE, FL 32607
(352) 331-1902
(352) 331-1906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0058527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058525400
—
FL
01
—
110058871
RAILROAD MEDICARE
FL
01
—
14461
BLUE CROSS BLUE SHIELD
FL
01
—
P00713824
RR MEDICARE
FL
Enumeration date
08/18/2005
Last updated
07/10/2009
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