Individual
MICHAEL RYAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PA-C
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 592-2757
Mailing address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS19319
FL
363AS0400X
Surgical Physician Assistant
PA9105765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9105765
PHYSICIAN ASSISTANT
FL
Enumeration date
11/24/2010
Last updated
12/08/2023
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