Individual
RANDALL A. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R5A27
MO
207RH0003X
Hematology & Oncology Physician
Primary
ME103696
FL
207RH0003X
Hematology & Oncology Physician
R5A27
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000867300
—
FL
05
—
202074035
—
MO
01
—
257858
UNITED HEALTHCARE
—
01
—
39065018
BLUE CROSS OF KANSAS CITY
MO
01
—
4004078
AETNA
MO
01
—
4125
HEALTHCARE USA
—
Enumeration date
08/03/2006
Last updated
04/09/2013
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