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Organization

BROOME EYE CARE AND OPTICAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK ANTHONY BROOME O.D. (OWNER)
(386) 466-1062
Entity
Organization

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
1679554760
FL
305R00000X
Preferred Provider Organization
Primary
1992167407
FL

Other

Enumeration date
03/23/2016
Last updated
09/09/2016
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