Brockman, Marc Edward

Brockman, Marc Edward is an individual health care provider with primary practice located at 1515 N Flagler Dr Suite 500, West Palm Beach FL 33401-3428. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brockman, Marc Edward can be contacted via phone (561) 659-9700.

Contact Information

Primary practice address
1515 N Flagler Dr Suite 500 West Palm Beach FL 33401-3428
Phone: (561) 659-9700
Fax: (561) 659-7153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT3093 Florida

Profile Details

NPI number 1598764672
LBN Legal business name Brockman, Marc Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 15th, 2008 - about 16 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 1598764672 NPPES
Florida MEDICAID 620336150
Florida Other 20823Y
Florida Other 20823X
Florida Other 20823

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