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Brian John Fazzone, MD
Student in an Organized Health Care Education/Training Program in Gainesville, Florida
NPI 1639669690

Brian John Fazzone is a Student in an Organized Health Care Education/Training Program based in Gainesville, FL. Brian John Fazzone practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Brian John Fazzone is 1639669690 and holds a License No. (Florida).

The current practice location address for Brian John Fazzone is 1515 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-265-0916.

Location: 1515 Sw Archer Rd, Gainesville, FL, 32608-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639669690
Provider Name
Brian John Fazzone
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1515 Sw Archer Rd, Gainesville, FL, 32608-1134
Phone Number
352-265-0916
Fax Number
Provider Enumeration Date
05/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1515 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32608-1134
Phone Number
352-265-0916
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32608-1134
Phone Number
352-265-0916
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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