Provider Demographics
NPI:1134165418
Name:BROWN, CYNTHIA K (ARNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 SUNSET DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4805
Mailing Address - Country:US
Mailing Address - Phone:305-668-1660
Mailing Address - Fax:305-668-1650
Practice Address - Street 1:6200 SUNSET DR
Practice Address - Street 2:SUITE 505
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4805
Practice Address - Country:US
Practice Address - Phone:305-668-1660
Practice Address - Fax:305-668-1650
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP686562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6678OtherBLUE CROSS BLUE SHIELD
FLY6678OtherBLUE CROSS BLUE SHIELD