Individual
DWYANNE C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 MANATEE AVE W, BRADENTON, FL 34205-8610
(941) 745-2727
(941) 745-2112
Mailing address
601 MANATEE AVE W, BRADENTON, FL 34205-8610
(941) 745-2727
(941) 745-2112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME61216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25194
BLUE CROSS BLUE SHIELD
FL
01
—
P00189817
RAILROAD MEDICARE
—
Enumeration date
11/07/2005
Last updated
10/05/2007
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