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Individual

JERRY BROWN DRUM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
567 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 299-1231
(863) 299-1233
Mailing address
567 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 299-1231
(863) 299-1233

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME52061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061591900
FL
Enumeration date
06/13/2006
Last updated
03/26/2015
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