Individual
MEGAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(800) 378-7597
(877) 399-5578
Mailing address
201 PARK PLACE BLVD STE 110, KISSIMMEE, FL 34741-2345
(800) 378-7597
(877) 399-5578
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588156640
—
FL
01
—
409630213
TAX ID
IL
Enumeration date
06/05/2018
Last updated
04/14/2020
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