Provider Demographics
NPI:1922264829
Name:BROWN, AUSTIN HILL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:HILL
Last Name:BROWN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20063 BACK NINE DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4708
Mailing Address - Country:US
Mailing Address - Phone:561-482-2024
Mailing Address - Fax:561-482-2024
Practice Address - Street 1:20063 BACK NINE DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-4708
Practice Address - Country:US
Practice Address - Phone:561-482-2024
Practice Address - Fax:561-482-2024
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA2863363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant