Provider Demographics
NPI:1386033157
Name:BRITTANY SHERWOOD, LLC
Entity Type:Organization
Organization Name:BRITTANY SHERWOOD, LLC
Other - Org Name:PERSONAL PRIVATE PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-907-7092
Mailing Address - Street 1:5722 S FLAMINGO RD # 201
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-3206
Mailing Address - Country:US
Mailing Address - Phone:305-907-7092
Mailing Address - Fax:305-907-7092
Practice Address - Street 1:11706 MELALEUCA WAY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1228
Practice Address - Country:US
Practice Address - Phone:305-907-7092
Practice Address - Fax:305-907-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9341880261QH0100X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service