Provider Demographics
NPI:1891178398
Name:BROWN, PATRICK
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S OLD DIXIE HWY
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3570
Mailing Address - Country:US
Mailing Address - Phone:561-575-4770
Mailing Address - Fax:
Practice Address - Street 1:50 S OLD DIXIE HWY
Practice Address - Street 2:SUITE 1 A
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3570
Practice Address - Country:US
Practice Address - Phone:561-575-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist