Healthcare Provider Details

I. General information

NPI: 1518986132
Provider Name (Legal Business Name): JEFFREY BERNARD BROWN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6294 N FEDERAL HWY
FORT LAUDERDALE FL
33308-1917
US

IV. Provider business mailing address

6294 N FEDERAL HWY
FORT LAUDERDALE FL
33308-1917
US

V. Phone/Fax

Practice location:
  • Phone: 954-363-9080
  • Fax: 954-363-9080
Mailing address:
  • Phone: 954-363-9080
  • Fax: 954-363-9080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME157485
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: