Provider Demographics
NPI:1215306139
Name:BROWN, SHERRIE
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 ALAMANDA CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1301
Mailing Address - Country:US
Mailing Address - Phone:754-422-3904
Mailing Address - Fax:
Practice Address - Street 1:821 ALAMANDA CT
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1301
Practice Address - Country:US
Practice Address - Phone:754-422-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility