Provider Demographics
NPI:1801188859
Name:BINNS-BROWN, STACY-ANN PATRINA (MD)
Entity Type:Individual
Prefix:
First Name:STACY-ANN
Middle Name:PATRINA
Last Name:BINNS-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 VILLAGE BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1961
Mailing Address - Country:US
Mailing Address - Phone:561-331-8800
Mailing Address - Fax:561-331-8074
Practice Address - Street 1:560 VILLAGE BLVD STE 150
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:561-331-8800
Practice Address - Fax:561-331-8074
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1226032084P0800X
FLTRN 195312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty