Healthcare Provider Details

I. General information

NPI: 1952642969
Provider Name (Legal Business Name): ELBROWN ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2013
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LEE RD STE 211
WINTER PARK FL
32789-1846
US

IV. Provider business mailing address

2211 LEE RD STE 211
WINTER PARK FL
32789-1846
US

V. Phone/Fax

Practice location:
  • Phone: 407-878-7368
  • Fax: 321-363-0707
Mailing address:
  • Phone: 407-878-7368
  • Fax: 321-363-0707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: JOSEPH BONACCORSI
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 312-346-6599