Brockington, Suzette

Brockington, Suzette is an sole proprietor health care provider with primary practice located at 321 Benson St , Valrico FL 33594-3014. She recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Nurse's Aide, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Brockington, Suzette can be contacted via phone (813) 562-4565.

Contact Information

Primary practice address
321 Benson St Valrico FL 33594-3014
Phone: (813) 562-4565
Fax: (813) 354-4490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1033791504
LBN Legal business name Brockington, Suzette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2021
Last updated Jun 9th, 2021 - about 3 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 1033791504 NPPES
Florida MEDICAID 014362400

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