Healthcare Provider Details

I. General information

NPI: 1861008211
Provider Name (Legal Business Name): GBROWN HEALTCARE ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SE 2ND ST STE 600
FORT LAUDERDALE FL
33301-1950
US

IV. Provider business mailing address

300 SE 2ND ST STE 600
FORT LAUDERDALE FL
33301-1950
US

V. Phone/Fax

Practice location:
  • Phone: 773-203-8911
  • Fax:
Mailing address:
  • Phone: 773-203-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GREGORY BROWN
Title or Position: CEO
Credential: MBA
Phone: 773-203-8911