Brooks, Amy Goldman
Brooks, Amy Goldman is an individual health care provider with primary practice located at 3003 W Dr Martin Luther King Jr Blvd 2Nd Floor Mab, Tampa FL 33607-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Brooks, Amy Goldman can be contacted via phone (813) 357-0520.Contact Information
Primary practice address
3003 W Dr Martin Luther King Jr Blvd 2Nd Floor Mab
Tampa FL 33607-6307
Phone: (813) 357-0520
Fax: (813) 870-4790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | ARNP9359486 | Florida |
Profile Details
| NPI number | 1437402146 |
|---|---|
| LBN Legal business name | Brooks, Amy Goldman |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2012 |
| Last updated | Jan 16th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437402146 | NPPES |
| Florida | MEDICAID | 008864600 |
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