Individual
KIMBERLY BROOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5407 W ATLANTIC BLVD, MARGATE, FL 33063-5210
(954) 973-3584
Mailing address
5910 WOODLANDS BLVD, TAMARAC, FL 33319-2510
(954) 770-4722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC005878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NOT APPLICABLE
—
Enumeration date
10/20/2020
Last updated
10/20/2020
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