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Dr. Kent Thomas Braeutigam, DO
General Practice Physician in Middleburg, Florida
NPI 1063437861

Kent Thomas Braeutigam is a General Practice Physician based in Orange Park, FL. Kent Thomas Braeutigam practices in Middleburg, FL and has the professional credentials of DO. The NPI Number for Kent Thomas Braeutigam is 1063437861 and holds a License No. OS5110 (Florida).

The current practice location address for Kent Thomas Braeutigam is 3839 County Road 218, Middleburg, FL and can be reached out via phone at 904-282-5474 and via fax at 904-282-5824.

Location: 3839 County Road 218, Middleburg, FL, 32073-2982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063437861
Provider Name
Kent Thomas Braeutigam
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3839 County Road 218, Middleburg, FL, 32073-2982
Phone Number
904-282-5474
Fax Number
904-282-5824
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046178400 05 FL
institution
Provider Business Practice Location Address Details
Address
3839 County Road 218
City
Middleburg
State
Florida
Zip
32068-5708
Phone Number
904-282-5474
Fax Number
904-282-5824
person
Provider Business Mailing Address Details
Address
3839 County Road 218
City
Middleburg
State
Florida
Zip
32068-5708
Phone Number
904-282-5474
Fax Number
904-282-5824
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS5110 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OS5110 (Florida)
Definition
Definition to come...
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