Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian John Fazzone, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639669690

Brian John Fazzone, MD is a Student in an Organized Health Care Education/Training Program in Gainesville, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 SW Archer Rd
Gainesville, FL 32608-1134
Phone: (352) 265-0916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639669690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address1515 Sw Archer Rd, Gainesville, FL 32608-1134

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