Provider Demographics
NPI:1982064283
Name:SHARP-BROWN, AMBER (MS, ATC, LAT, PES)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:SHARP-BROWN
Suffix:
Gender:F
Credentials:MS, ATC, LAT, PES
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LEANN
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC, LAT
Mailing Address - Street 1:5601 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2626
Mailing Address - Country:US
Mailing Address - Phone:954-771-4615
Mailing Address - Fax:
Practice Address - Street 1:5601 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2626
Practice Address - Country:US
Practice Address - Phone:954-771-4615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL36462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer