Healthcare Provider Details

I. General information

NPI: 1710663000
Provider Name (Legal Business Name): BRYNN MCLAUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRYNN HENTSCHEL DO

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8083 PARRAMORE RD
JACKSONVILLE FL
32244-5703
US

IV. Provider business mailing address

1601 CUMMINS DR STE D
MODESTO CA
95358-6411
US

V. Phone/Fax

Practice location:
  • Phone: 904-450-6760
  • Fax:
Mailing address:
  • Phone: 800-498-7157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS23108
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOT02284
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: