Individual
DR. MARC EDWARD BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1515 N FLAGLER DR, SUITE 500, WEST PALM BEACH, FL 33401-3428
(561) 659-9700
(561) 659-7153
Mailing address
1050 SE MONTEREY RD, SUITE 104, STUART, FL 34994-4512
(772) 283-2020
(772) 220-9582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT3093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20823
BCBS OF FLORIDA
FL
01
—
20823X
MEDICARE RETIRED RAILROAD
—
01
—
20823Y
MEDICARE RETIRED RAILROAD
—
05
—
620336150
—
FL
Enumeration date
07/20/2005
Last updated
02/15/2008
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