Individual
ALICIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W PLYMOUTH AVE, DELAND, FL 32720-3260
(386) 738-0322
(386) 738-0628
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(078) 752-0804
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9101637
FLORIDA LICENSE
FL
Enumeration date
10/26/2006
Last updated
07/12/2019
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