Brown, Kacian Simone

Brown, Kacian Simone is an individual health care provider with primary practice located at 2400 Maitland Center Pkwy Ste 310 , Maitland FL 32751-7442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Kacian Simone can be contacted via phone (107) 426-4800.

Contact Information

Primary practice address
2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442
Fax: (407) 426-4820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57014024 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME107523 Florida

Profile Details

NPI number 1508029141
LBN Legal business name Brown, Kacian Simone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Nov 9th, 2021 - about 3 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 1508029141 NPPES
Florida MEDICAID 113535230

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