Provider Demographics
NPI:1093972804
Name:BROWNING, ROBERT E LEE IV (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E LEE
Last Name:BROWNING
Suffix:IV
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 1:423 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33853-4342
Mailing Address - Country:US
Mailing Address - Phone:863-679-2707
Mailing Address - Fax:
Practice Address - Street 1:423 LINDEN LN
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4342
Practice Address - Country:US
Practice Address - Phone:863-679-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN12464208600000X
FLME1150612086S0127X, 2086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14S9MOtherFLORIDA BLUE
FLHG982ZMedicare PIN