Healthcare Provider Details

I. General information

NPI: 1538000963
Provider Name (Legal Business Name): PAYTON RILEY-BROWN FORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAYTON RILEY BROWN MD

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 BENMORE DR STE 200
WINTER PARK FL
32792-4111
US

IV. Provider business mailing address

133 BENMORE DR STE 200
WINTER PARK FL
32792-4111
US

V. Phone/Fax

Practice location:
  • Phone: 407-646-7070
  • Fax:
Mailing address:
  • Phone: 407-646-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN46199
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: