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General NPI Number Information
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NPI Number | 1912884057
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Entity Type | Individual
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Provider Name | LAYNE M BROWN RN
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Gender | Male
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1200 7TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33705-1388
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Country | US
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Telephone | 727-825-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 NEWTON AVE S
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City | GULFPORT
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State | FL
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Zip | 33707-4309
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Country | US
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Telephone | 727-251-4890
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9619352
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License Number State | FL
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