Mcbroom, Denise Michelle

Mcbroom, Denise Michelle is an sole proprietor health care provider with primary practice located at 390 Challenger Rd , Cape Canaveral FL 32920-4200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mcbroom, Denise Michelle can be contacted via phone (321) 633-8640.

Contact Information

Primary practice address
390 Challenger Rd Cape Canaveral FL 32920-4200
Phone: (321) 633-8640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 003185 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9111719 Florida

Profile Details

NPI number 1558546267
LBN Legal business name Mcbroom, Denise Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2008
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558546267 NPPES
Georgia MEDICAID 972007681A

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