NPI

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NPI 1700673290

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2025-04-21
Last updated
2025-04-21

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
4987 N. University Drive Suite 2406
City
Lauderhill FL
Postal code
33351
Phone
(954) 300-4181

Organization contact

Name
Andrea Brown-Bailey
Title
Administrator
Phone
(954) 547-6586

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Lauderhill, FL. 1,148 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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