Provider Demographics
NPI:1568013019
Name:BROWNING, LADONNA C
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:C
Last Name:BROWNING
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 1:14371 SW 32ND TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-2553
Mailing Address - Country:US
Mailing Address - Phone:352-278-4569
Mailing Address - Fax:
Practice Address - Street 1:513 SW 5TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6653
Practice Address - Country:US
Practice Address - Phone:352-278-4569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5178725164W00000X
FL171240343376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator
No164W00000XNursing Service ProvidersLicensed Practical Nurse