Roero, Jaclyn Michelle Brooke

Roero, Jaclyn Michelle Brooke is an individual health care provider with primary practice located at 1790 Sw 43Rd Way , Fort Lauderdale FL 33317-5701. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Roero, Jaclyn Michelle Brooke can be contacted via phone (855) 442-2454.

Contact Information

Primary practice address
1790 Sw 43Rd Way Fort Lauderdale FL 33317-5701
Phone: (855) 442-2454
Fax: (954) 206-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT17693 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT17693 Florida

Profile Details

NPI number 1104374651
LBN Legal business name Roero, Jaclyn Michelle Brooke
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2016
Last updated Nov 21st, 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 1104374651 NPPES
Florida MEDICAID 018832000

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