Fernandez, Brooke

Fernandez, Brooke is an sole proprietor health care provider with primary practice located at 1211 Central Pkwy , Deland FL 32724-3372. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Naturopath, Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Nutritionist. Other Service Providers / Naturopath is her primary health care specialty. Fernandez, Brooke can be contacted via phone (352) 978-8507.

Contact Information

Primary practice address
1211 Central Pkwy Deland FL 32724-3372
Phone: (352) 978-8507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Dietary Manager 132700000X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1780268003
LBN Legal business name Fernandez, Brooke
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2021
Last updated May 4th, 2023 - about 3 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 1780268003 NPPES
Other 12834006 CASH

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