Individual
SERENA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13778 PLANTATION RD, FORT MYERS, FL 33912-4301
(239) 343-0454
(239) 343-1075
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0454
(239) 343-1075
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
0024175101
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11023824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188477000
—
FL
Enumeration date
10/09/2017
Last updated
08/15/2023
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