Broome, Frank Anthony
Broome, Frank Anthony is an sole proprietor health care provider with primary practice located at 125 Sw Midtown Pl Suite 101, Lake City FL 32025-0766. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Broome, Frank Anthony can be contacted via phone (386) 466-1062.Contact Information
Primary practice address
125 Sw Midtown Pl Suite 101
Lake City FL 32025-0766
Phone: (386) 466-1062
Fax: (386) 466-1061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2440 | Florida |
Profile Details
| NPI number | 1679554760 |
|---|---|
| LBN Legal business name | Broome, Frank Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Sep 9th, 2016 - about 10 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 | 1679554760 | NPPES |
| Florida | MEDICAID | 078744200 |
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