Provider Demographics
NPI:1932157153
Name:BROWN, DUDLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DUDLEY
Middle Name:
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 1:1411 N FLAGLER DR
Mailing Address - Street 2:SUITE 4900
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-357-6277
Mailing Address - Fax:561-967-9895
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 4900
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-357-6277
Practice Address - Fax:561-967-9895
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036106689207V00000X
FLME110328207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology