NPI

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NPI 1992100176

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2014-10-29
Last updated
2014-10-29

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Specialties

Licenses

License FL
AL12572

Location

Practice location
1613 Monroe Sheffield Rd
City
Chipley FL
Postal code
32428-5719
Phone
(850) 638-5476

Organization contact

Name
Fleda Brown
Title
Administrator
Phone
(850) 638-5476

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 Chipley, FL. 208 records in the public file.

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

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