MEDICARE: MISS JULIE SHONICA BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1104694330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JULIE SHONICA BROWN

Provider Business Mailing Address
First Line	:	1314 E LAS OLAS BLVD STE 1864
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2334
Country	:	US
Telephone Number	:	407-519-0704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 E LAS OLAS BLVD STE 1864
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2334
Country	:	US
Telephone Number	:	407-519-0704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “ MISS JULIE SHONICA BROWN ” Practice Location

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