Brown, Gregory Mark
Brown, Gregory Mark is an individual health care provider with primary practice located at 619 W Dixie Ave , Leesburg FL 34748-2602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brown, Gregory Mark can be contacted via phone (352) 314-2424.Contact Information
Primary practice address
619 W Dixie Ave
Leesburg FL 34748-2602
Phone: (352) 314-2424
Fax: (352) 314-3010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0058899 | Florida |
Profile Details
| NPI number | 1386647956 |
|---|---|
| LBN Legal business name | Brown, Gregory Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Apr 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386647956 | NPPES |
| Florida | MEDICAID | 054017000 | |
| Florida | Other | 12567 |
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