MEDICARE: MARLON BROWN

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1316363906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLON BROWN

Provider Business Mailing Address
First Line	:	11245 SAVANNAH LANDING CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-5110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 LEE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-5704
Country	:	US
Telephone Number	:	407-960-7373
Fax Number	:

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

Provider Enumeration Date	:	03/06/2014
Last Update Date	:	03/06/2014

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Directions to “ MARLON BROWN ” Practice Location

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