Provider Demographics
NPI:1043476567
Name:REGNIER BROWN, MICHELLE LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LEE
Last Name:REGNIER BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:LEE
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:12701 S JOHN YOUNG PKWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-3420
Mailing Address - Country:US
Mailing Address - Phone:407-856-0076
Mailing Address - Fax:407-856-0751
Practice Address - Street 1:12701 S JOHN YOUNG PKWY
Practice Address - Street 2:SUITE 108
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-3420
Practice Address - Country:US
Practice Address - Phone:407-856-0076
Practice Address - Fax:407-856-0751
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor