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Individual

DAVID WIDLUND BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1405 CENTERVILLE RD, SUITE 5000, TALLAHASSEE, FL 32308-4655
(850) 877-7886
(850) 877-0738
Mailing address
1405 CENTERVILLE RD STE 5000, TALLAHASSEE, FL 32308-4663
(850) 877-7886
(850) 877-0738

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0001631
FL
363AS0400X
Surgical Physician Assistant
3931
GA

Other

Enumeration date
05/24/2006
Last updated
01/28/2014
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