Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME66658 | ZZ |
N | 207VG0400X | Gynecologist | ME006658 | FL |
N | 207VX0000X | Obstetrician | ME006658 | FL |
NPI | 1013090331 |
---|---|
Provider Name | Nancy Brown |
First Address | Tampa, FL 33622-5317 |
Second Address | Orlando, FL 32803-2235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 12/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
251666700 | (05) | FL |
32589 | BC/BS (01) | FL |
5479535 | AETNA (01) | FL |
G51966 | (02) |