Individual
JAMES MICHAEL BROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1603 N PALM DR, AVON PARK, FL 33825-2127
(863) 873-1988
Mailing address
1603 N PALM DR, AVON PARK, FL 33825-2127
(863) 873-1988
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8316
FL
Other
Enumeration date
12/31/2017
Last updated
12/31/2017
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