Provider Demographics
NPI:1174510697
Name:BROWN, DARIN SHAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:SHAYNE
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:910 SW 1ST AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0904
Mailing Address - Country:US
Mailing Address - Phone:352-304-5990
Mailing Address - Fax:352-304-5993
Practice Address - Street 1:1431 SW 1ST AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-304-5990
Practice Address - Fax:352-304-5993
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01050871A207Q00000X
FLME99359207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02085OtherBC/BS
FLAE119XMedicare PIN