Pratt, Broc Lane

Pratt, Broc Lane is an individual health care provider with primary practice located at 300 71 Street Suite 620, Miami Beach FL 33141-3089. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pratt, Broc Lane can be contacted via phone (305) 866-9951.

Contact Information

Primary practice address
300 71 Street Suite 620 Miami Beach FL 33141-3089
Phone: (305) 866-9951
Fax: (877) 284-8933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005-01398 North Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0090-00308 North Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 2005-01398 North Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2005-01398 North Carolina

Profile Details

NPI number 1770522849
LBN Legal business name Pratt, Broc Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 28th, 2010 - about 15 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 1770522849 NPPES
North Carolina MEDICAID 5901841
North Carolina Other 140KC
North Carolina MEDICAID N98005

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