Brown, Jeffrey Michael

Brown, Jeffrey Michael is an individual health care provider with primary practice located at 1265 Se Port St Lucie Blvd , Port St Lucie FL 34952-5376. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brown, Jeffrey Michael can be contacted via phone (772) 337-4798.

Contact Information

Primary practice address
1265 Se Port St Lucie Blvd Port St Lucie FL 34952-5376
Fax: (772) 337-2004
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN0012132 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X ME66211 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14082 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9948 Maryland
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS026292L Pennsylvania

Profile Details

NPI number 1184658569
LBN Legal business name Brown, Jeffrey Michael
Credentials D.M.D, M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184658569 NPPES
Florida Other 569150 UNITED CONCORDIA
Florida Other 69476 UNITED CONCORDIA

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