Broccoli, Joanne

Broccoli, Joanne is an individual health care provider with primary practice located at 3066 Sw Martin Downs Blvd Ste C , Palm City FL 34990-2683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Broccoli, Joanne can be contacted via phone (772) 781-2791.

Contact Information

Primary practice address
3066 Sw Martin Downs Blvd Ste C Palm City FL 34990-2683
Phone: (772) 781-2791
Fax: (772) 223-2819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9420620 Florida

Profile Details

NPI number 1811902588
LBN Legal business name Broccoli, Joanne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Oct 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811902588 NPPES
Florida Other SC9PS FLORIDA BLUE

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