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NPI Code Detail

MEDICARE: WILLIAM C BROWN JR. M.D.

MEDICARE:   WILLIAM C BROWN JR. 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
1207R00000XInternal Medicine PhysicianME0061833FL

Other Identifiers

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

General Provider Information

NPI Number : 1396741088
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM C BROWN JR. M.D.
Provider Business Mailing Address
First Line : 1103 S FORT HARRISON AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3907
Country : US
Telephone Number : 727-461-5600
Fax Number : 727-461-7133
Provider Business Practice Location Address
First Line : 1103 S FORT HARRISON AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3907
Country : US
Telephone Number : 727-461-5600
Fax Number : 727-461-7133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 03/16/2023

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