Isaiah Brown, MD | |
5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | |
(850) 479-1805 | |
Not Available |
Full Name | Isaiah Brown |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 5149 N 9th Ave Ste 120, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003235102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | ME158944 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Cardiothoracic & Vascular Surgical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541 |
Entity Name | Lifeline Vascular Center Niceville Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962849794 PECOS PAC ID: 9931334398 Enrollment ID: O20131021001557 |
Mailing Address | Practice Location Address |
---|---|
Isaiah Brown, MD 1824 King St Ste 200, Jacksonville, FL 32204-4736 Ph: (904) 384-3343 | Isaiah Brown, MD 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 Ph: (850) 479-1805 |
William J Kaiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave Ste 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
Valerie Marie Pruitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4451 Bayou Blvd, Pensacola, FL 32503 Phone: 850-416-6159 Fax: 850-416-7198 | |
Dr. Mark Edward Lytle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave, Suite 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
John A Tucker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Floor, Pensacola, FL 32514 Phone: 850-437-3777 Fax: 850-437-3318 | |
Ludovic M Lasquety, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5147 N 9th Ave, Ste. 203, Pensacola, FL 32504 Phone: 850-476-6110 Fax: 850-479-6042 | |
Layne R. Yonehiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 N E St, Suite 533, Pensacola, FL 32501 Phone: 850-429-0102 Fax: 850-429-0830 |