Individual
DR. ALAN L BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15681 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4123
(239) 437-1977
(239) 437-1889
Mailing address
1860 BOY SCOUT DR STE 201, FORT MYERS, FL 33907-2119
(239) 215-1180
(239) 215-1179
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME96769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276550100
—
FL
01
—
56472
BCBS FL PROVIDER #
FL
01
—
6331616
AETNA PROVIDER #
FL
01
—
L3464
MEDICARE
FL
01
—
P00370745
RAILROAD MEDICARE IND. #
FL
Enumeration date
10/28/2005
Last updated
01/28/2020
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