IndividualActive
Maranda Brown, ATC
NPI 1700419355 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Hurlburt Field, FL
Provider details
- NPI number
- 1700419355
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LAT-5371 (NC)
Practice location
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone: (850) 390-0535
Mailing address
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.