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Individual

BROOK ORUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
35363 SARAH LYNN DR APT 205, DADE CITY, FL 33525-8345
(727) 741-8245
Mailing address
35363 SARAH LYNN DR APT 205, DADE CITY, FL 33525-8345
(727) 741-8245

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5203440
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5203440
FLORIDA BOARD OF NURSING
FL
05
7574015953
FL
Enumeration date
10/08/2024
Last updated
10/08/2024
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