Healthcare Provider Details

I. General information

NPI: 1811372584
Provider Name (Legal Business Name): JAMES BROWN II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2015
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 BRUCE B DOWNS BLVD # 180
WESLEY CHAPEL FL
33544-8616
US

IV. Provider business mailing address

5450 BRUCE B DOWNS BLVD # 180
WESLEY CHAPEL FL
33544-8616
US

V. Phone/Fax

Practice location:
  • Phone: 813-252-1652
  • Fax:
Mailing address:
  • Phone: 813-252-1652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-4248
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW18681
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: