MEDICARE: WILLIAM C BROWN M D INC

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
1	207R00000X	Internal Medicine Physician	ME61833	FL

General Provider Information

NPI Number	:	1114187754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C BROWN M D INC

Provider Business Mailing Address
First Line	:	1103 S FORT HARRISON AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3907
Country	:	US
Telephone Number	:	727-461-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 S FORT HARRISON AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3907
Country	:	US
Telephone Number	:	727-461-5600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM C BROWN JR.
Credential	:	MD
Telephone Number	:	727-461-5600

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	03/17/2023

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