Basic Information
Provider Information
NPI: 1023128600
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAY
FirstName: BRITTNEY
MiddleName: SCHMIDT
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCHMIDT
OtherFirstName: BRITTNEY
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 850001
Address2:  
City: ORLANDO
State: FL
PostalCode: 328850192
CountryCode: US
TelephoneNumber: 9042826331
FaxNumber: 9042824117
Practice Location
Address1: 14011 BEACH BLVD
Address2: SUITE 120
City: JACKSONVILLE
State: FL
PostalCode: 322501507
CountryCode: US
TelephoneNumber: 9042236400
FaxNumber: 9042236420
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 02/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XSP008861VAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102XARNP 9278451FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
00156540005FL MEDICAID


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