Sandra L.Brown M.D. PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME66863 Issued in FL

Legal business name

SANDRA L.BROWN M.D. PA

Practice address

700 SE 5TH Ter
Suite 5
Crystal River, FL 34429-4878

Phone

(352) 795-8815

Fax

(352) 564-1090

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sandra L. Brown, M.D

Title

President

Phone

(352) 795-8815

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467490813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER",
            "address_2": "SUITE 5",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294878",
            "telephone_number": "352-795-8815",
            "fax_number": "352-564-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER",
            "address_2": "SUITE 5",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294878",
            "telephone_number": "352-795-8815",
            "fax_number": "352-564-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L.BROWN M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.