Provider Demographics
NPI:1386103281
Name:BROWN, THOMAS MICHAEL JR (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4479 BAYMEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-4716
Mailing Address - Country:US
Mailing Address - Phone:904-731-8300
Mailing Address - Fax:904-737-7901
Practice Address - Street 1:4479 BAYMEADOWS RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-4716
Practice Address - Country:US
Practice Address - Phone:904-731-8300
Practice Address - Fax:904-737-7901
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS20162207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology