Charles Leslie Bryner Jr, MD | |
606 Chivas Ct, Orange Park, FL 32073-4227 | |
(904) 542-3500 | |
Not Available |
Full Name | Charles Leslie Bryner Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 606 Chivas Ct, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205894300 | NPI | - | NPPES |
271490600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME61834 (Florida) | Primary |
Entity Name | St Vincent's Ambulatory Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Charles Leslie Bryner Jr, MD 606 Chivas Ct, Orange Park, FL 32073-4227 Ph: (904) 542-3500 | Charles Leslie Bryner Jr, MD 606 Chivas Ct, Orange Park, FL 32073-4227 Ph: (904) 542-3500 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 | |
Dr. Abdul A Qazizada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 Blanding Blvd, Orange Park, FL 32065 Phone: 904-276-1133 Fax: 904-276-1821 | |
David Maynoldi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Kingsley Ave, Orange Park, FL 32073 Phone: 877-842-4020 Fax: 877-842-4020 |