Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 3131482 | FL |
NPI | 1053942995 |
---|---|
Provider Name | Ms. Sharon Theresa Brown |
First Address | Coral Springs, FL 33077-2748 |
Second Address | Coral Springs, FL 33076-1630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2020 |
Last Update Date | 29/01/2020 |