Individual
BLAINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
147 E GRANADA BLVD, ORMOND BEACH, FL 32176-6663
(386) 265-5968
Mailing address
147 E GRANADA BLVD, ORMOND BEACH, FL 32176-6663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15895
FL
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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