| Odalys Brito Md & Associates Pa | |
|
400 Health Park Blvd St Augustine FL 32086-5784 | |
| (904) 808-7362 | |
| (904) 808-7363 |
| Full Name | Odalys Brito Md & Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Odalys Brito (PRESIDENT) |
| Authorized Official Contact | 9048087362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odalys Brito Md & Associates Pa Po Box 1317 St Augustine FL 32085-1317 Ph: (904) 808-7362 | Odalys Brito Md & Associates Pa 400 Health Park Blvd St Augustine FL 32086-5784 Ph: (904) 808-7362 |
| NPI Number | 1396801361 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396801361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME94487 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME94487 (Florida) | Primary |
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