Brown, Serena
Brown, Serena is an individual health care provider with primary practice located at 13778 Plantation Rd , Fort Myers FL 33912-4301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brown, Serena can be contacted via phone (239) 343-0454.Contact Information
Primary practice address
13778 Plantation Rd
Fort Myers FL 33912-4301
Phone: (239) 343-0454
Fax: (239) 343-1075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024175101 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN11023824 | Florida |
Profile Details
| NPI number | 1083124648 |
|---|---|
| LBN Legal business name | Brown, Serena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2017 |
| Last updated | Aug 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083124648 | NPPES |
| Florida | MEDICAID | 1188477000 |
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