MEDICARE: DR. HARRY BROWN GRABOW M.D.

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	207W00000X	Ophthalmology Physician	ME0023611	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	46069Y	OTHER	FL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356344188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY BROWN GRABOW M.D.

Provider Business Mailing Address
First Line	:	PO BOX 773430
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34477-3430
Country	:	US
Telephone Number	:	941-921-7744
Fax Number	:	941-921-3783

Provider Business Practice Location Address
First Line	:	3920 BEE RIDGE RD
Second Line	:	BUILDING F SUITE A
City	:	SARASOTA
State	:	FL
Zip	:	34233-1207
Country	:	US
Telephone Number	:	941-921-7744
Fax Number	:	941-921-3783

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/02/2015

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