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Individual

CHARLES S BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
93592
SC
207L00000X
Anesthesiology Physician
Primary
ME0066325
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050040192
MCRR
FL
01
0867335
CIGNA
FL
01
2014367
AETNA
FL
01
26201
BSFL
FL
01
26201Z
MCR
FL
05
376817100
FL
Enumeration date
10/24/2005
Last updated
03/11/2025
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