Individual
FRANK ANTHONY BROOME III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
125 SW MIDTOWN PL, SUITE 101, LAKE CITY, FL 32025-0766
(386) 466-1062
(386) 466-1061
Mailing address
125 SW MIDTOWN PL, SUITE 101, LAKE CITY, FL 32025-0766
(386) 466-1062
(386) 466-1061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078744200
—
FL
Enumeration date
11/07/2005
Last updated
09/09/2016
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