Individual
GARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2400 DUNDEE RD, WINTER HAVEN, FL 33884-1166
(866) 389-4848
(352) 732-6282
Mailing address
PO BOX 106002, ATLANTA, GA 30348-6002
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9227820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306904400
—
FL
01
—
G3746
BLUE CROSS BLUE SHIELD
FL
01
—
P00216189
RAILROAD MEDICARE
FL
Enumeration date
07/31/2006
Last updated
07/12/2010
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