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Individual

JOHANNA PAOLA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13340 METRO PKWY STE 310, FORT MYERS, FL 33966-4818
(239) 343-1448
(239) 343-4178
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1500
(239) 424-1423

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101239801
VA
207RI0200X
Infectious Disease Physician
A80763
CA
207RI0200X
Infectious Disease Physician
Primary
ME148976
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010275458
VA
05
111559400
FL
01
197750
ANTHEM
Enumeration date
05/31/2005
Last updated
11/12/2021
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