Brown, Jody Lane

Brown, Jody Lane is an individual health care provider with primary practice located at 4300 Sw 13Th St , Gainesville FL 32608-4006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Brown, Jody Lane can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
4300 Sw 13Th St Gainesville FL 32608-4006
Phone: (352) 374-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME 83675 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X E-6072 Arkansas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-6072 Arkansas

Profile Details

NPI number 1689660441
LBN Legal business name Brown, Jody Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 19th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689660441 NPPES
Florida MEDICAID 281278900

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