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NPI Code Detail

MEDICARE: EMILY BRINSON MD

MEDICARE:   EMILY  BRINSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1639011083
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BRINSON MD
Provider Business Mailing Address
First Line : 5752 WAYNE ROGERS RD
Second Line :
City : CRESTVIEW
State : FL
Zip : 32539-5103
Country : US
Telephone Number : 910-388-5587
Fax Number :
Provider Business Practice Location Address
First Line : 52 UNDERWOOD ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1110
Country : US
Telephone Number : 321-841-5243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ EMILY BRINSON MD” Practice Location

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