Dr. Tonia Brousseau, DO
Pediatrics, Pediatric Emergency Medicine in Jacksonville, FL. Individual provider (NPI-1).
NPI number1174580682
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1174580682
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tonia Brousseau
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | OS9193 | FL | Yes |
| 208000000X | Pediatrics | OS9193 | FL |
Practice location
820 Prudential Dr Ste 713Emergency Resources Group
Jacksonville, FL 32207-8209
Phone 904-396-5682 · Fax 904-346-0864
Mailing address
Po Box 863640Orlando, FL 32886-3640
Phone 904-396-5682 · Fax 904-346-0864
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