MEDICARE: BROW INK AND COMPANY, LLC

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	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1336085257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROW INK AND COMPANY, LLC

Provider Business Mailing Address
First Line	:	7575 DR PHILLIPS BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7216
Country	:	US
Telephone Number	:	407-982-4876
Fax Number	:	407-650-2758

Provider Business Practice Location Address
First Line	:	1522 OAKHURST DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25314-6100
Country	:	US
Telephone Number	:	407-982-4876
Fax Number	:	407-650-2758

Authorized Official
Title or Position	:	OWNER
Name	:	MISTY ANGEL
Credential	:
Telephone Number	:	407-982-4876

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “BROW INK AND COMPANY, LLC ” Practice Location

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