Individual ProviderBryant MauriHospitalistAllopathic & Osteopathic PhysiciansPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205(904) 202-3860(904) 202-2092PECOS EnrollmentBased on the most recent information from CMS, provider Bryant Mauri is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1013479237Provider TypeIndividualFull NameMauri, BryantTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date4/5/2019Last Updated12/10/2024Contact InformationPractice LocationPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205Phone(904) 202-3860FaxUnlisted FaxMailing LocationMailing AddressPO Box 746638, Atlanta, GA 30374-6638Phone(904) 202-2092Fax(904) 376-4075Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseOS18310FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS18310Florida