Brown, Vergil K

Brown, Vergil K is an individual health care provider with primary practice located at 1005 Mar Walt Dr Internal Medicine, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brown, Vergil K can be contacted via phone (850) 863-8209.

Contact Information

Primary practice address
1005 Mar Walt Dr Internal Medicine Fort Walton Beach FL 32547-6707
Phone: (850) 863-8209
Fax: (850) 862-9656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME76633 Florida

Profile Details

NPI number 1871578955
LBN Legal business name Brown, Vergil K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Jan 16th, 2017 - 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 1871578955 NPPES
Florida MEDICAID 254981600
Florida Other 44257

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