Individual
MR. JAMES THOMAS BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Contact information
Practice address
880 SW GRAND RESERVE BLVD, PORT ST LUCIE, FL 34986-2339
(772) 340-7788
(772) 343-7419
Mailing address
880 SW GRAND RESERVE BLVD, PORT ST LUCIE, FL 34986-2339
(772) 340-7788
(772) 343-7419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1447922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301032500
—
FL
Enumeration date
06/03/2006
Last updated
11/01/2018
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