Provider Demographics
NPI:1346466463
Name:BROWN, PATRICK HUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:HUGH
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 REMINGTON GREEN CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-1550
Mailing Address - Country:US
Mailing Address - Phone:850-385-4494
Mailing Address - Fax:
Practice Address - Street 1:3721 N MONROE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2740
Practice Address - Country:US
Practice Address - Phone:850-562-0281
Practice Address - Fax:850-562-0295
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 89351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAK517ZOtherMEDICARE INDIVIDUAL PTAN
FL000021500Medicaid
FL99388OtherMEDICARE PTAN GROUP ASSOCIATION