Healthcare Provider Details

I. General information

NPI: 1548272610
Provider Name (Legal Business Name): ALBERT R. BROWN, D.P.M., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 N FEDERAL HWY
FORT LAUDERDALE FL
33308-5205
US

IV. Provider business mailing address

4640 N FEDERAL HWY
FORT LAUDERDALE FL
33308-5205
US

V. Phone/Fax

Practice location:
  • Phone: 954-776-5851
  • Fax: 954-776-0043
Mailing address:
  • Phone: 954-776-5851
  • Fax: 954-776-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number548
License Number StateFL

VIII. Authorized Official

Name: DR. ALBERT R BROWN
Title or Position: PRESIDENT
Credential: DPM
Phone: 954-776-5851