Brittany Fitzgerald
Individual provider Active NPI Contractor · Lake Park, GA
NPI 1609592823 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1609592823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2788 Ga Highway 135 N
Lake Park, GA 31636-6129 - Phone
- (229) 300-6229
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2788 Ga Highway 135 N
Lake Park, GA 31636-6129
Mailing address
2788 Ga Highway 135 N
Lake Park, GA 31636-6129
Phone (229) 300-6229
Other providers in Lake Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.