NPI 1063686004

Gladys Brown

Practitioner Contractor Miami, FL

Practice location

Address: 1101 NW 139th St, Miami, FL 33168-6711
Phone: (305) 687-2215

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence CFCE 1007-1014-92 (FL)

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Registry record

NPI: 1063686004
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2008
Record last updated: 22 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.