| Dr Meredith Johnston Brazell, DO | |
|
70 Venture Valley Ct Ste 220, Ponte Vedra, FL 32081-6255 | |
| (904) 659-9818 | |
| Not Available |
| Full Name | Dr Meredith Johnston Brazell |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 70 Venture Valley Ct Ste 220, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073952909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS15757 (Florida) | Primary |
| Entity Name | Villages Regional Hospital Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Meredith Johnston Brazell, DO 70 Venture Valley Ct Ste 220, Ponte Vedra, FL 32081-6255 Ph: (904) 659-9818 | Dr Meredith Johnston Brazell, DO 70 Venture Valley Ct Ste 220, Ponte Vedra, FL 32081-6255 Ph: (904) 659-9818 |
Dr. Erika Nicolina Lorig-wolf, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 193 Old Bluff Dr, Ponte Vedra, FL 32081 Phone: 631-561-8975 |
Dr. Emma Corrine Drach, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr Ste 200, Ponte Vedra, FL 32081 Phone: 904-686-7577 Fax: 904-390-7513 |
Urian Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, FL 32082 Phone: 904-285-9355 Fax: 904-285-7474 |