Healthcare Provider Details

I. General information

NPI: 1144137878
Provider Name (Legal Business Name): JEMAL ABDUL BROWN SR. APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6766 W SUNRISE BLVD STE 101
PLANTATION FL
33313-6072
US

IV. Provider business mailing address

2333 NW 92ND AVE
CORAL SPRINGS FL
33065-5132
US

V. Phone/Fax

Practice location:
  • Phone: 754-202-3419
  • Fax: 754-202-3441
Mailing address:
  • Phone: 954-203-0572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number692737
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: