Individual
KIMBERLY MARIE BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4313 NW 8TH AVE, GAINESVILLE, FL 32605-4777
(352) 373-4300
(352) 372-1641
Mailing address
4313 NW 8TH AVE, GAINESVILLE, FL 32605-4777
(352) 373-4300
(352) 372-1641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078811200
—
FL
Enumeration date
11/07/2005
Last updated
03/14/2017
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