Broome, Kimberly Marie

Broome, Kimberly Marie is an individual health care provider with primary practice located at 4313 Nw 8Th Ave , Gainesville FL 32605-4777. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Broome, Kimberly Marie can be contacted via phone (352) 373-4300.

Contact Information

Primary practice address
4313 Nw 8Th Ave Gainesville FL 32605-4777
Phone: (352) 373-4300
Fax: (352) 372-1641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2481 Florida

Profile Details

NPI number 1326029414
LBN Legal business name Broome, Kimberly Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 14th, 2017 - about 7 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 1326029414 NPPES
Florida MEDICAID 078811200

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