Broome, Frank Anthony
Broome, Frank Anthony is an individual health care provider with primary practice located at 3781 S Nova Rd Ste O , Port Orange FL 32129-4285. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Broome, Frank Anthony can be contacted via phone (386) 760-8626.Contact Information
Primary practice address
3781 S Nova Rd Ste O
Port Orange FL 32129-4285
Phone: (386) 760-8626
Fax: (386) 760-2676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC795 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC795 | Florida |
Profile Details
| NPI number | 1982631792 |
|---|---|
| LBN Legal business name | Broome, Frank Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Apr 12th, 2018 - about 6 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 | 1982631792 | NPPES |
| Florida | MEDICAID | 084399700 |
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