Individual
LARAE COLEMAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15255 MAX LEGGETT PKWY STE 4400, JACKSONVILLE, FL 32218-7273
(904) 427-8898
(904) 383-1893
Mailing address
15255 MAX LEGGETT PKWY STE 4400, JACKSONVILLE, FL 32218-7273
(904) 427-8898
(904) 383-1893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME112367
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN12325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124700A
—
GA
05
—
005839000
—
FL
Enumeration date
05/15/2008
Last updated
09/13/2021
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