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NPI Code Detail

MEDICARE: BROWN & SMITH P.L.C.

MEDICARE: BROWN & SMITH P.L.C.
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
11223G0001XGeneral Practice Dentistry4530 9781FL

General Provider Information

NPI Number : 1336210749
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWN & SMITH P.L.C.
Provider Business Mailing Address
First Line : 4811 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6547
Country : US
Telephone Number : 954-983-3548
Fax Number : 954-983-1810
Provider Business Practice Location Address
First Line : 4811 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6547
Country : US
Telephone Number : 954-983-3548
Fax Number : 954-983-1810
Authorized Official
Title or Position : DENTIST
Name : DR. EDWARD BROWN
Credential : D.M.D
Telephone Number : 954-983-3548
Provider Enumeration Date : 11/10/2006
Last Update Date : 08/22/2020

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Directions to “BROWN & SMITH P.L.C. ” Practice Location

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