Individual
THOMAS LARRY BROWN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NORTHCLIFF DR, GULF BREEZE, FL 32561-4440
(850) 932-9404
(850) 932-5707
Mailing address
200 NORTHCLIFF DR, GULF BREEZE, FL 32561-4440
(850) 932-9404
(850) 932-5707
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
00007599
AL
2085R0202X
Diagnostic Radiology Physician
0101-021130
VA
2085R0202X
Diagnostic Radiology Physician
Primary
230429
NY
2085R0202X
Diagnostic Radiology Physician
ME23293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069260300
—
FL
Enumeration date
02/06/2006
Last updated
02/20/2023
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