KATHLEEN ELIZABETH BROCKWAY


Address: 13740 Beach Blvd Ste 404, Jacksonville, FL 32224-6036
Phone: 9042235595

KATHLEEN ELIZABETH BROCKWAY (NPI# 1720227465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720227465
Entity Type Individual
Full Name KATHLEEN ELIZABETH BROCKWAY
Practice Address 13740 Beach Blvd Ste 404
Jacksonville
FL 32224-6036
Practice Telephone 9042235595
Practice Fax Number 9042235594
Mailing Telephone 9042235595
Mailing Fax Number 9042235594
Enumeration Date 2009-02-19
Last Update Date 2009-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 13740 BEACH BLVD STE 404
City JACKSONVILLE
State FL
Zip Code 32224-6036

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
Find all providers in zip 32224

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295367837 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 1300 Riverplace Blvd Ste 100, Jacksonville, FL 32207-1815 2020-02-11
1952955627 B Jazzy Salon Inc Prosthetic/Orthotic Supplier 5116 Gate Pkwy Apt 5111, Jacksonville, FL 32256-0265 2019-07-30
1043771777 Jimetra West Prosthetic/Orthotic Supplier 1449 Morgana Rd, Jacksonville, FL 32211-4910 2019-03-26
1144769092 Nupath Medical LLC Prosthetic/Orthotic Supplier 11244 Turnbridge Dr, Jacksonville, FL 32256-2342 2017-02-13
1700287018 Janet Johnson Prosthetic/Orthotic Supplier 3132 Beach Blvd, Jacksonville, FL 32207-3710 2014-09-07
1043619166 Nordstrom Inc & Subsidiaries Prosthetic/Orthotic Supplier 4835 Town Crossing Drive, Jacksonville, FL 32246-8577 2014-08-14
1053679365 Jean T. Proulx Prosthetic/Orthotic Supplier 3132 Beach Boulevard, Jacksonville, FL 32207-3710 2012-04-25
1023309572 Bremer Brace of Florida, Inc. Prosthetic/Orthotic Supplier 4131 University Blvd S Ste 16, Jacksonville, FL 32216-4346 2011-05-02
1760637599 Brandis Wig Salon Prosthetic/Orthotic Supplier 7275 103rd St, Jacksonville, FL 32210 2008-11-20
1770778193 Adaptive Technologies, LLC Prosthetic/Orthotic Supplier 2680 Henderson Drive, Suite 314, Jacksonville, NC 28546 2007-09-10
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32224

Improve Information

Please comment or provide details below to improve the information on KATHLEEN ELIZABETH BROCKWAY.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches