MEDICARE: AMY E BRUMFIELD PA

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
1	363AM0700X	Medical Physician Assistant	PA3044	FL

General Provider Information

NPI Number	:	1477671378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY E BRUMFIELD PA

Provider Business Mailing Address
First Line	:	320 3RD ST
Second Line	:	STE B
City	:	NEPTUNE BEACH
State	:	FL
Zip	:	32266-5100
Country	:	US
Telephone Number	:	904-853-6143
Fax Number	:	904-853-6137

Provider Business Practice Location Address
First Line	:	1361 13TH AVE S STE 150
Second Line	:
City	:	JAX BCH
State	:	FL
Zip	:	32250-3235
Country	:	US
Telephone Number	:	904-242-7177
Fax Number	:	904-242-7162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	02/08/2021

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Directions to “ AMY E BRUMFIELD PA” Practice Location

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