MEDICARE: DR. BRANDON J KAMBACH M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME96051	FL
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME96051	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00345043	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992740443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON J KAMBACH M.D.

Provider Business Mailing Address
First Line	:	1325 SAN MARCO BLVD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8566
Country	:	US
Telephone Number	:	904-376-3707
Fax Number	:	904-880-1210

Provider Business Practice Location Address
First Line	:	14534 OLD SAINT AUGUSTINE RD STE 3210
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-2645
Country	:	US
Telephone Number	:	904-880-1260
Fax Number	:	904-880-1210

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	04/15/2021

Similar Medicare Providers

1881698652 — SUNDAY U ERO M.D.
Practice Location Address:

14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL
32258-2645

Practice Phone: 904-880-1260
Practice Fax: 904-880-1210

1649271917 — RICHARD A PICERNO II M.D.
Practice Location Address:

14534 OLD SAINT AUGUSTINE RD STE 3220
JACKSONVILLE, FL
32258-2645

Practice Phone: 904-880-1260
Practice Fax: 904-880-1210

1659344489 — GREGORY G SOLIS M.D.
Practice Location Address:

14534 OLD SAINT AUGUSTINE RD STE 3220
JACKSONVILLE, FL
32258-2645

Practice Phone: 904-880-1260
Practice Fax: 904-880-1210

1982665279 — KRISTIN P. FERNANDEZ D.O.
Practice Location Address:

14534 OLD SAINT AUGUSTINE RD STE 3430
JACKSONVILLE, FL
32258-2645

Practice Phone: 904-268-5300
Practice Fax: 904-268-5040

1376741736 — DR. RYAN JON CHAUFFE DO
Practice Location Address:

14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL
32258-2645

Practice Phone: 904-493-8001
Practice Fax: 904-376-3207

1033303532 — RAVI K. MAREEDU M.D.
Practice Location Address:

14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL
32258-2645

Practice Phone: 904-493-8001
Practice Fax: 904-376-3207

Directions to “ DR. BRANDON J KAMBACH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.