Male or Other

Charles L. Bryner MD

Family Medicine Physician in Orange Park, FL(View on Map)

Full Name

Charles Leslie Bryner MD

NPI Number

1205894300

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME61834

Contact
Information

Purpose

Mailing
Location

Address

606 CHIVAS CT
606 CHIVAS CT

City

Orange Park
Orange Park

State

FL
FL

Postal Code

32073-4227
32073-4227

Country

US
US

Telephone Number

(904) 542-3500
(904) 542-3500

Identifiers

Identifier

271490600

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/20/2008

Provider Address

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