Broome, Isabel
Broome, Isabel is an sole proprietor health care provider with primary practice located at 1821 Black Lake Blvd , Winter Garden FL 34787-4678. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Broome, Isabel can be contacted via phone (407) 905-5134.Contact Information
Primary practice address
1821 Black Lake Blvd
Winter Garden FL 34787-4678
Phone: (407) 905-5134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1255083085 |
|---|---|
| LBN Legal business name | Broome, Isabel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2022 |
| Last updated | Jan 25th, 2022 - about 2 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 | 1255083085 | NPPES |
| Florida | MEDICAID | 106052300 |
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