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NPI Code Detail

MEDICARE: BROOKE SOBH MS, RD, LDN

MEDICARE:   BROOKE  SOBH  MS, RD, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1235876913
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE SOBH MS, RD, LDN
Provider Business Mailing Address
First Line : 16904 TACOPA CT
Second Line :
City : TAMPA
State : FL
Zip : 33618-1135
Country : US
Telephone Number : 727-514-3598
Fax Number :
Provider Business Practice Location Address
First Line : 16904 TACOPA CT
Second Line :
City : TAMPA
State : FL
Zip : 33618-1135
Country : US
Telephone Number : 727-514-3598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2022
Last Update Date : 07/28/2023

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Directions to “ BROOKE SOBH MS, RD, LDN” Practice Location

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