Individual
MR. CHARLES HAROLD BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1102 HAYS ST, TALLAHASSEE, FL 32301
(850) 519-2515
Mailing address
1102 HAYS STREET, TALLAHASSEE, FL 32301
(850) 519-2515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3925
BCBS
FL
Enumeration date
12/26/2006
Last updated
07/08/2007
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