Provider Demographics
NPI:1265412167
Name:BROWN, FLOYD MELVIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:MELVIN
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6333 TELEGRAPH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1359
Mailing Address - Country:US
Mailing Address - Phone:510-923-0180
Mailing Address - Fax:510-923-0894
Practice Address - Street 1:6333 TELEGRAPH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1359
Practice Address - Country:US
Practice Address - Phone:510-923-0180
Practice Address - Fax:510-923-0894
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2011-06-13
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Provider Licenses
StateLicense IDTaxonomies
CAC384452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7646617Medicare UPIN