Individual
DONNA BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 NE 15TH ST APT 19F, MIAMI, FL 33132-1402
(203) 361-7220
Mailing address
1425 BARNUM AVE, STRATFORD, CT 06614-5404
(203) 383-7741
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
9549871
FL
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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