Provider Demographics
NPI:1356344188
Name:GRABOW, HARRY BROWN (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:BROWN
Last Name:GRABOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 773430
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-3430
Mailing Address - Country:US
Mailing Address - Phone:941-921-7744
Mailing Address - Fax:941-921-3783
Practice Address - Street 1:3920 BEE RIDGE RD
Practice Address - Street 2:BUILDING F SUITE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-921-7744
Practice Address - Fax:941-921-3783
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0023611207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL050530700Medicaid
FL46069YOtherMEDICARE PTAN
FLE31871Medicare UPIN