Individual
KASIB BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 VIZCAYA LAKES RD APT 310, OCOEE, FL 34761-6902
(727) 278-3102
Mailing address
1036 VIZCAYA LAKES RD APT 310, OCOEE, FL 34761-6902
(727) 278-3102
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AL2794
FL
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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