Healthcare Provider Details

I. General information

NPI: 1710501770
Provider Name (Legal Business Name): BRITTANY FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

1000 E PRIMROSE ST STE 520
SPRINGFIELD MO
65807-5180
US

V. Phone/Fax

Practice location:
  • Phone: 561-650-6271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA1201
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: