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NPI Code Detail

MEDICARE: JEFFREY L BROWN DO

MEDICARE: JEFFREY L BROWN DO
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
1207Q00000XFamily Medicine PhysicianOS14063FL

General Provider Information

NPI Number : 1053304667
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY L BROWN DO
Provider Business Mailing Address
First Line : 701 NORTHPOINT PKWY STE 140
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-1950
Country : US
Telephone Number : 561-296-9200
Fax Number : 561-296-9215
Provider Business Practice Location Address
First Line : 701 NORTHPOINT PKWY STE 140
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-1950
Country : US
Telephone Number : 561-296-9200
Fax Number : 561-296-9215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 11/20/2019

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