Healthcare Provider Details

I. General information

NPI: 1730078999
Provider Name (Legal Business Name): SABINE BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2368 STATE ROAD 44
NEW SMYRNA BEACH FL
32168
US

IV. Provider business mailing address

2368 STATE ROAD 44
NEW SMYRNA BEACH FL
32168
US

V. Phone/Fax

Practice location:
  • Phone: 386-957-0440
  • Fax: 386-957-0442
Mailing address:
  • Phone: 386-957-0440
  • Fax: 386-957-0442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11040612
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: