MEDICARE: FRANKLIN BROWN MERRITT 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
1	207P00000X	Emergency Medicine Physician	22834	AL
2	207P00000X	Emergency Medicine Physician	ME90738	FL
3	207R00000X	Internal Medicine Physician	MD22834	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	CG636Z	OTHER	FL	FL MEDICARE
7	P00055583	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51515764	OTHER	AL	BCBS OF ALABAMA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245204031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN BROWN MERRITT MD

Provider Business Mailing Address
First Line	:	14302 MILLCOLE AVE
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32413-2725
Country	:	US
Telephone Number	:	334-790-0984
Fax Number	:

Provider Business Practice Location Address
First Line	:	14302 MILLCOLE AVE
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32413-2725
Country	:	US
Telephone Number	:	334-790-0984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	12/04/2020

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Directions to “ FRANKLIN BROWN MERRITT MD” Practice Location

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