Provider Demographics
NPI:1750797189
Name:BROWN, SHONA LAVE
Entity type:Individual
Prefix:
First Name:SHONA
Middle Name:LAVE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHONA
Other - Middle Name:LAVE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1725 BRIGHTMEADOW CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5655
Mailing Address - Country:US
Mailing Address - Phone:321-217-4343
Mailing Address - Fax:
Practice Address - Street 1:1725 BRIGHTMEADOW CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5655
Practice Address - Country:US
Practice Address - Phone:321-217-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator