Provider Demographics
NPI:1356373054
Name:BROWN, STEVEN JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HOSPITAL DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-2380
Mailing Address - Country:US
Mailing Address - Phone:386-437-5959
Mailing Address - Fax:386-437-5390
Practice Address - Street 1:21 HOSPITAL DR
Practice Address - Street 2:SUITE 270
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2380
Practice Address - Country:US
Practice Address - Phone:386-437-5959
Practice Address - Fax:386-437-5390
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68427207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27052OtherBLUE CROSS BLUE SHIELD
FL377986600Medicaid
FL27052ZMedicare PIN
FL377986600Medicaid
FL27052BMedicare PIN