Provider Demographics
NPI:1912145251
Name:BROWNING, EUGENE DAVID (LPN)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:DAVID
Last Name:BROWNING
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3766 TOWN SQUARE BLVD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-8770
Mailing Address - Country:US
Mailing Address - Phone:321-409-3100
Mailing Address - Fax:
Practice Address - Street 1:3766 TOWN SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-8770
Practice Address - Country:US
Practice Address - Phone:321-409-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1237211164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse