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NPI Code Detail

MEDICARE: DARRYL BROWN

MEDICARE: DARRYL 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1992351746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRYL BROWN
Provider Business Mailing Address
First Line : 6215 LORRAINE RD
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6708
Country : US
Telephone Number : 941-755-1400
Fax Number : 941-755-3735
Provider Business Practice Location Address
First Line : 6215 LORRAINE RD
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6708
Country : US
Telephone Number : 941-755-1400
Fax Number : 941-755-3735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2019
Last Update Date : 08/16/2019

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Directions to “ DARRYL BROWN ” Practice Location

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