Healthcare Provider Details

I. General information

NPI: 1407966823
Provider Name (Legal Business Name): DALEY-BROWN HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10760 SW 164TH ST
MIAMI FL
33157-2933
US

IV. Provider business mailing address

10760 SW 164TH ST
MIAMI FL
33157-2933
US

V. Phone/Fax

Practice location:
  • Phone: 305-975-1880
  • Fax: 305-238-1073
Mailing address:
  • Phone: 305-975-1880
  • Fax: 305-238-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGIETTE SIMONE BROWN
Title or Position: CEO
Credential: RN, BSN
Phone: 305-975-1880