Provider Demographics
NPI:1982868394
Name:ESTHER BROWNE-KING, M.D.
Entity Type:Organization
Organization Name:ESTHER BROWNE-KING, M.D.
Other - Org Name:WEST COAST MEDICAL GROUP, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:U
Authorized Official - Last Name:BROWNE-KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-787-5151
Mailing Address - Street 1:15511 N FLORIDA AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1263
Mailing Address - Country:US
Mailing Address - Phone:813-908-8700
Mailing Address - Fax:813-908-8896
Practice Address - Street 1:36503 US 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1340
Practice Address - Country:US
Practice Address - Phone:727-787-5151
Practice Address - Fax:727-785-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME75919207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257404700Medicaid
FL257404700Medicaid
FLF92541Medicare UPIN