1982868394 NPI number — ESTHER BROWNE-KING, M.D.

Table of content: (NPI 1982868394)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982868394 NPI number — ESTHER BROWNE-KING, M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ESTHER BROWNE-KING, M.D.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982868394
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15511 N FLORIDA AVE
Provider Second Line Business Mailing Address:
SUITE D
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33613-1263
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-908-8700
Provider Business Mailing Address Fax Number:
813-908-8896

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36503 US 19 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34684-1340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-787-5151
Provider Business Practice Location Address Fax Number:
727-785-4005
Provider Enumeration Date:
07/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BROWNE-KING
Authorized Official First Name:
ESTHER
Authorized Official Middle Name:
U.
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
727-787-5151

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME75919 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 257404700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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