Healthcare Provider Details
I. General information
NPI: 1699288944
Provider Name (Legal Business Name): NAKEISHA BROWNING R .T.(R),RVS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/08/2017
Last Update Date: 11/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1431 SW 1ST AVE
OCALA FL
34471-6500
US
IV. Provider business mailing address
12825 SW 50TH TER
OCALA FL
34473-5248
US
V. Phone/Fax
- Phone: 352-401-1486
- Fax:
- Phone: 352-207-8444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471S1302X |
| Taxonomy | Sonography Radiologic Technologist |
| License Number | |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2471C3402X |
| Taxonomy | Radiography Radiologic Technologist |
| License Number | CRT77998 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: