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
Phone: (772) 337-4798
Fax: (772) 337-2004
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184658569 | NPPES |
Florida | Other | 569150 | UNITED CONCORDIA |
Florida | Other | 69476 | UNITED CONCORDIA |
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