Individual
BROOKE KULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1719
(772) 785-5502
Mailing address
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1719
(772) 785-5502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1023472792
AR
208000000X
Pediatrics Physician
Primary
19272
FL
208000000X
Pediatrics Physician
OS020115
PA
Other
Enumeration date
04/08/2016
Last updated
09/08/2022
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