Ashton C. Brinson, Md, Pa | |
695 Douglas Ave Altamonte Springs FL 32714-2515 | |
(407) 774-7080 | |
(407) 774-7090 |
Full Name | Ashton C. Brinson, Md, Pa |
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Speciality | Family Medicine |
Location | 695 Douglas Ave, Altamonte Springs, Florida |
Authorized Official Name and Position | Ashton Chase Brinson (PRESIDENT) |
Authorized Official Contact | 4077747080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ashton C. Brinson, Md, Pa 695 Douglas Ave Altamonte Springs FL 32714-2515 Ph: (407) 774-7080 | Ashton C. Brinson, Md, Pa 695 Douglas Ave Altamonte Springs FL 32714-2515 Ph: (407) 774-7080 |
NPI Number | 1447290895 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 09/28/2015 |
Medicare PECOS PAC ID | 9133123359 |
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Medicare Enrollment ID | O20100714000941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447290895 | NPI | - | NPPES |
ME86123 | Other | FL | MEDICAL LIC # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME86123 (Florida) | Primary |
Provider Name | Ashton C Brinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164499414 PECOS PAC ID: 9335135953 Enrollment ID: I20040421000328 |
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