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NPI Code Detail

MEDICARE: ZACHARY EDWARD BROWN MD

MEDICARE: ZACHARY EDWARD BROWN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician23800ND
22085R0202XDiagnostic Radiology PhysicianME106630FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2148SLOTHERFLBC BS OF FLORIDA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023212214
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY EDWARD BROWN MD
Provider Business Mailing Address
First Line : PO BOX 161180
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32716-1180
Country : US
Telephone Number : 904-388-6949
Fax Number : 904-388-1841
Provider Business Practice Location Address
First Line : 1800 BARRS ST
Second Line : RADIOLOGY DEPT
City : JACKSONVILLE
State : FL
Zip : 32204-4704
Country : US
Telephone Number : 904-308-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 02/02/2026

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