Jeremy Kenneth Bray, MD | |
4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | |
(904) 953-2000 | |
Not Available |
Full Name | Jeremy Kenneth Bray |
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Gender | Male |
Speciality | Dermatology |
Location | 4500 San Pablo Rd S, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083291264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME160613 (Florida) | Primary |
Entity Name | Mayo Clinic Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
Mailing Address | Practice Location Address |
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Jeremy Kenneth Bray, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Jeremy Kenneth Bray, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
John Paul Kartsonis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7711 Baymeadows Rd E Ste 6, Jacksonville, FL 32256 Phone: 904-731-1770 Fax: 904-996-8300 | |
Dr. Pearl Chu Kwong, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 10175 Fortune Pkwy Unit 1203, Jacksonville, FL 32256 Phone: 904-519-5292 Fax: 904-519-5296 | |
Dr. Donald Paul Lookingbill, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Tamara Brainard, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 2800 Child Street, Jacksonville, FL 32214 Phone: 904-542-7912 | |
Angelia Lenae Stepien, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 6817 Southpoint Pkwy Ste 101, Jacksonville, FL 32216 Phone: 904-430-7372 | |
Matthew Hall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |