# SBB FIT 4 LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720710171
- **Authorized official:** JUDI D BROWN BROWN CRNP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (443) 470-9142

## Contact information

- **Practice address:** 4709 HARFORD RD, BALTIMORE, MD 21214-3205
- **Practice address phone:** (443) 470-9142
- **Mailing address:** 4709 HARFORD RD, BALTIMORE, MD 21214-3205
- **Mailing address phone:** (443) 470-9142
- **Mailing address fax:** (410) 735-5702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/25/2022
- **Last updated:** 08/07/2024