Provider Demographics
NPI:1902686769
Name:BROWN, URTORIO (OWNER)
Entity Type:Individual
Prefix:MR
First Name:URTORIO
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 E FOWLER AVE UNIT C105
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2181
Mailing Address - Country:US
Mailing Address - Phone:813-830-2335
Mailing Address - Fax:
Practice Address - Street 1:5004 E FOWLER AVE UNIT C105
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-2181
Practice Address - Country:US
Practice Address - Phone:813-830-2335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle