MEDICARE: SAMUEL FLOYD BROWN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	18575	MS
2	207V00000X	Obstetrics & Gynecology Physician	ME162462	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104810605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL FLOYD BROWN M.D.

Provider Business Mailing Address
First Line	:	700 6TH ST S FL 2
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-4815
Country	:	US
Telephone Number	:	727-893-6198
Fax Number	:	727-893-6978

Provider Business Practice Location Address
First Line	:	700 6TH ST S FL 2
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-4815
Country	:	US
Telephone Number	:	727-893-6198
Fax Number	:	727-893-6978

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	01/19/2024

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