Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME82539 | FL |
N | 207YP0228X | Pediatric Otolaryngology | ME82539 | FL |
N | 207YS0123X | Facial Plastic Surgeon | ME82539 | FL |
NPI | 1790784627 |
---|---|
Provider Name | William Joseph Brown |
First Address | Miami, FL 33176-2148 |
Second Address | Miami, FL 33176-2148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 04/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
265715500 | (05) | FL |
H61383 | (02) | FL |