Provider Demographics
NPI:1689842494
Name:BROWN, STEVEN SCOTT (AP)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SCOTT
Last Name:BROWN
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-3403
Mailing Address - Country:US
Mailing Address - Phone:386-690-1352
Mailing Address - Fax:386-410-2918
Practice Address - Street 1:3516 S ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-3628
Practice Address - Country:US
Practice Address - Phone:386-690-1352
Practice Address - Fax:386-410-2918
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA34120225700000X
FLAP1888171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist