Healthcare Provider Details

I. General information

NPI: 1801473012
Provider Name (Legal Business Name): CYBIL BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE STE G126
HIALEAH FL
33016-1813
US

IV. Provider business mailing address

17021 NW 86TH AVE
HIALEAH FL
33015-3709
US

V. Phone/Fax

Practice location:
  • Phone: 305-960-7543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11001319
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: