Provider Demographics
NPI:1518965243
Name:BROWN, NEIL M (DC)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 BEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1860
Mailing Address - Country:US
Mailing Address - Phone:386-788-2300
Mailing Address - Fax:386-756-1697
Practice Address - Street 1:801 BEVILLE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-1860
Practice Address - Country:US
Practice Address - Phone:386-788-2300
Practice Address - Fax:386-756-1697
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8036111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT95212Medicare UPIN
FL45556Medicare ID - Type UnspecifiedGROUP
FL88344Medicare ID - Type UnspecifiedINDIVIDUAL