Healthcare Provider Details

I. General information

NPI: 1740192533
Provider Name (Legal Business Name): MS. SUZI ANN N BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E OAK ST
APOPKA FL
32703-4352
US

IV. Provider business mailing address

305 E OAK ST
APOPKA FL
32703-4352
US

V. Phone/Fax

Practice location:
  • Phone: 407-880-2266
  • Fax:
Mailing address:
  • Phone: 407-880-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9546817
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: