Broome, Frank Anthony

Broome, Frank Anthony is an sole proprietor health care provider with primary practice located at 125 Sw Midtown Pl Suite 101, Lake City FL 32025-0766. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Broome, Frank Anthony can be contacted via phone (386) 466-1062.

Contact Information

Primary practice address
125 Sw Midtown Pl Suite 101 Lake City FL 32025-0766
Fax: (386) 466-1061
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2440 Florida

Profile Details

NPI number 1679554760
LBN Legal business name Broome, Frank Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Sep 9th, 2016 - 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 1679554760 NPPES
Florida MEDICAID 078744200

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