Provider Demographics
NPI:1669142022
Name:BROWN, DAPHANIE (MA)
Entity type:Individual
Prefix:
First Name:DAPHANIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NE 5TH ST UNIT 2927
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-2031
Mailing Address - Country:US
Mailing Address - Phone:470-452-5489
Mailing Address - Fax:
Practice Address - Street 1:55 NE 5TH ST UNIT 2927
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2031
Practice Address - Country:US
Practice Address - Phone:470-452-5489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist