Individual
KIMBERLY LAVITA CLAYTON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 101, DAYTONA BEACH, FL 32117-5169
(386) 231-3615
(386) 231-3614
Mailing address
305 MEMORIAL MEDICAL PKWY STE 101, DAYTONA BEACH, FL 32117-5169
(386) 231-3615
(386) 231-3614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME88022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128026100
—
FL
01
—
593287185
TID
FL
Enumeration date
09/01/2005
Last updated
09/02/2025
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