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Contact Information

ANNETTE BRABHAM, OD
111 N JOHN SIMS PKWY
VALPARAISO, FL32580
 Phone: 850-729-8711
 Fax: 850-729-8713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANNETTE BRABHAM · (Female)

NPI # 1346334422
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/03/2006
Last updated 06/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OP0002698
  • FL Medicaid 620523200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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