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NPI Code Detail

MEDICARE: BROOKE MARIE ALVAREZ

MEDICARE:   BROOKE MARIE ALVAREZ
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 DietitianND8455FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FGKUIOTHERFLBCBS

General Provider Information

NPI Number : 1992434013
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE MARIE ALVAREZ
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10740 PALM RIVER RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-4573
Country : US
Telephone Number : 813-821-8011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 01/04/2024

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Directions to “ BROOKE MARIE ALVAREZ ” Practice Location

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