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NPI Code Detail

MEDICARE: MRS. PEARL BROWNE RCSWI

MEDICARE: MRS. PEARL BROWNE RCSWI
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
11041C0700XClinical Social WorkerISW8581FL

General Provider Information

NPI Number : 1770981300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PEARL BROWNE RCSWI
Provider Business Mailing Address
First Line : 4300 SW 13TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-4006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4300 SW 13TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-4006
Country : US
Telephone Number : 352-374-5600
Fax Number : 352-371-9841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2014
Last Update Date : 05/11/2026

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