Provider Demographics
NPI:1912553439
Name:BROWNFIELD SALAHUDDIN, COURTNEY J (BS)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:J
Last Name:BROWNFIELD SALAHUDDIN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:J
Other - Last Name:BROWNFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1415 KISSIMMEE CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4623
Mailing Address - Country:US
Mailing Address - Phone:601-365-1045
Mailing Address - Fax:
Practice Address - Street 1:7550 FUTURES DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9095
Practice Address - Country:US
Practice Address - Phone:407-730-7983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator