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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 1437402146 NPPES
Florida MEDICAID 008864600

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