Gary Robert Brownell, PA-C
Physician Assistant in Ocoee, FL. Individual provider (NPI-1).
NPI number1619945979
StatusActive
Last updated in NPPESFeb 20, 2012
Details
- NPI
- 1619945979
- Entity type
- Individual (NPI-1)
- Name
- Gary Robert Brownell
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2006
- Last updated
- Feb 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103311 | FL | Yes |
Practice location
10000 W Colonial DrOcoee, FL 34761-3498
Phone 407-296-1000
Mailing address
Po Box 361907Melbourne, FL 32936-1907
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