Brown, James Thomas

Brown, James Thomas is an sole proprietor health care provider with primary practice located at 880 Sw Grand Reserve Blvd , Port St Lucie FL 34986-2339. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brown, James Thomas can be contacted via phone (772) 340-7788.

Contact Information

Primary practice address
880 Sw Grand Reserve Blvd Port St Lucie FL 34986-2339
Phone: (772) 340-7788
Fax: (772) 343-7419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1447922 Florida

Profile Details

NPI number 1407894272
LBN Legal business name Brown, James Thomas
Credentials NURSE ANESTHETIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Nov 1st, 2018 - about 7 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 1407894272 NPPES
Florida MEDICAID 301032500

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