Healthcare Provider Details

I. General information

NPI: 1164584124
Provider Name (Legal Business Name): HEATHER N BRITTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 N STATE RD 7 SUITE 207
MARGATE FL
33063-5737
US

IV. Provider business mailing address

9960 NW 116TH WAY SUITE 13
MEDLEY FL
33178-1167
US

V. Phone/Fax

Practice location:
  • Phone: 954-979-1212
  • Fax: 954-979-1951
Mailing address:
  • Phone: 786-924-1311
  • Fax: 786-924-1313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME85936
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: