Individual
DR. JODY LANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
E-6072
AR
2084P0804X
Child & Adolescent Psychiatry Physician
E-6072
AR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME 83675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281278900
—
FL
Enumeration date
09/27/2005
Last updated
01/19/2015
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