Brown, Thomas Larry

Brown, Thomas Larry is an individual health care provider with primary practice located at 200 Northcliff Dr , Gulf Breeze FL 32561-4440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Brown, Thomas Larry can be contacted via phone (850) 932-9404.

Contact Information

Primary practice address
200 Northcliff Dr Gulf Breeze FL 32561-4440
Phone: (850) 932-9404
Fax: (850) 932-5707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 00007599 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME23293 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101-021130 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 230429 New York

Profile Details

NPI number 1053383786
LBN Legal business name Brown, Thomas Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 20th, 2023 - about 2 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 1053383786 NPPES
Florida MEDICAID 069260300

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