Provider Demographics
NPI:1013024850
Name:JOHNROSE-BROWN, ANNE-MARIE CATHY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:CATHY
Last Name:JOHNROSE-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNE-MARIE
Other - Middle Name:CATHY
Other - Last Name:JOHN-ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:900 CARILLON PKWY STE 308
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1120
Mailing Address - Country:US
Mailing Address - Phone:727-561-2600
Mailing Address - Fax:727-333-6071
Practice Address - Street 1:900 CARILLON PKWY STE 308
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1120
Practice Address - Country:US
Practice Address - Phone:727-561-2600
Practice Address - Fax:727-333-6071
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96577207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023294000Medicaid
FLAC479ZMedicare ID - Type Unspecified
FL277138100Medicaid