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

John R. Brent MD PA

Organization Specialist · NPI 1679762611

John R. Brent MD PA provides Specialist services in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1032 Mar Walt Dr Ste 220
Fort Walton Beach, FL 32547-6661 Not confirmed with CMS for 13 years — call before visiting
Phone: (850) 796-3737
Fax: (850) 796-3739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME92355 (FL)

Record details

NPI number1679762611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Brent — President · (850) 796-3737
NPI enumeratedOctober 16, 2007
Last updated in NPPESJanuary 15, 2013
Mailing address1032 Mar Walt Dr, Suite 220, Fort Walton Beach, FL 32547-6661

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