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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARANDA GABRIELLE BROWN, ATC

Active Sole Proprietor

MARANDA GABRIELLE BROWN, ATC is a Sports Medicine (PM&R) healthcare provider located in HURLBURT FIELD, Florida. NPI 1700419355 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · HURLBURT FIELD, FL

Registration Details

NPI Number
1700419355
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2020 (6.4605301869315 yrs)
Last Updated
Sep 14, 2023
License
LAT-5371 (NC)
Sole Proprietor
Yes

Practice Information

Address
113 LIELMANIS AVE
HURLBURT FIELD, FL, 325445613
Browse FL providers · Browse ZIP 32544
Phone
8503900535
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.