Individual
SUSANNAH MERCEDES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NE BRAILLE PL, JENSEN BEACH, FL 34957-5345
(772) 320-0770
Mailing address
1601 NE BRAILLE PL, JENSEN BEACH, FL 34957-5345
(772) 320-0770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59-1051699
—
FL
Enumeration date
01/08/2018
Last updated
01/08/2018
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