MEDICARE: DR. STEVEN JOSEPH 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	207VG0400X	Gynecology Physician	ME68427	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27052	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356373054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JOSEPH BROWN M.D.

Provider Business Mailing Address
First Line	:	21 HOSPITAL DR
Second Line	:	SUITE 270
City	:	PALM COAST
State	:	FL
Zip	:	32164-2380
Country	:	US
Telephone Number	:	386-437-5959
Fax Number	:	386-437-5390

Provider Business Practice Location Address
First Line	:	21 HOSPITAL DR
Second Line	:	SUITE 270
City	:	PALM COAST
State	:	FL
Zip	:	32164-2380
Country	:	US
Telephone Number	:	386-437-5959
Fax Number	:	386-437-5390

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	09/11/2008

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