1699769810 NPI number — MS. PATRICIA JEAN KOLANKO-BROWN LSCW

Table of content: MS. PATRICIA JEAN KOLANKO-BROWN LSCW (NPI 1699769810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699769810 NPI number — MS. PATRICIA JEAN KOLANKO-BROWN LSCW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOLANKO-BROWN
Provider First Name:
PATRICIA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LSCW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1699769810
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5910 N KENNETH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33604-6518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-827-9183
Provider Business Mailing Address Fax Number:
813-828-6868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8415 BAYSHORE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MACDILL AFB
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33621-1607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-827-9183
Provider Business Practice Location Address Fax Number:
813-828-6868
Provider Enumeration Date:
09/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW 0003715 , 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)





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