Organization
SURGEONS OF CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL THEODORE BROWN MD (OWNER)
(863) 276-0607
Entity
Organization
Contact information
Practice address
755 JAY BEE AVENUE, DAVENPORT, FL 33897
(863) 286-0607
Mailing address
755 JAY BEE AVENUE, DAVENPORT, FL 33897
(863) 286-0607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/26/2019
Last updated
04/23/2019
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