MEDICARE: PATRICIA JOSEPH-BROOME A.R.N.P.

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
1	363LP0200X	Pediatric Nurse Practitioner	ARNP1862212	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649251612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JOSEPH-BROOME A.R.N.P.

Provider Business Mailing Address
First Line	:	1600 N STATE ROAD 7
Second Line	:	SUITE 300
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-5853
Country	:	US
Telephone Number	:	954-581-1977
Fax Number	:	954-583-1667

Provider Business Practice Location Address
First Line	:	1600 N STATE ROAD 7
Second Line	:	SUITE 300
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-5853
Country	:	US
Telephone Number	:	954-581-1977
Fax Number	:	954-583-1667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	06/13/2014

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