Individual
BREANNA BROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4700 SHERIDAN ST STE K, HOLLYWOOD, FL 33021-3416
(954) 966-7000
(954) 966-7095
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01463
MD
Other
Enumeration date
09/07/2018
Last updated
09/20/2022
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