Healthcare Provider Details

I. General information

NPI: 1033234562
Provider Name (Legal Business Name): JUSTIN MEREDITH BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST, KIMMEL BUILDING
WEST PALM FL
33407
US

IV. Provider business mailing address

901 45TH ST
MANGONIA PARK FL
33407-2413
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-5255
  • Fax: 561-844-5255
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME178416
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA117012
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number273253
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number2007004395
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: