ERIC T. BROE (NPI# 1588926018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588926018 |
| Entity Type | Individual |
| Full Name | ERIC T. BROE |
| Credential | DMD |
| Practice Address |
1023 Atlantic Blvd Atlantic Beach FL 32233-3313 |
| Mailing Address |
926 Great Pond Drive Ste 2002 Altamonte Springs FL 32714 |
| Practice Telephone | 9042493104 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN19723 | FL | Dental Providers |
| Street Address |
1023 ATLANTIC BLVD |
| City | ATLANTIC BEACH |
| State | FL |
| Zip Code | 32233-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174776967 | Lindsay Gremillion Maples | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2008-10-24 |
| 1396343000 | Mary Lois Keezel | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2020-10-14 |
| 1750906293 | Suset Romano | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2020-06-10 |
| 1255991972 | Ryan Parker | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2019-06-14 |
| 1841783222 | Sarah J Veazey | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2018-06-11 |
| 1801300942 | Ada Chung | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2017-11-28 |
| 1851704654 | Sara Makary | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2014-06-09 |
| 1447591789 | Amy Johanna Bouvier Poblenz | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2013-03-12 |
| 1689803322 | Trang M Cao | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223469 | Ethem Gokdeniz | Private Vehicle | 2274 Fairway Villas Ln North, Atlantic Beach, FL 32233 | 2020-04-06 |
| 1184181000 | Jeremy Klimek | Occupational Therapist | 910 Assisi Lane, Jacksonville, FL 32233 | 2019-02-27 |
| 1811344385 | Kacy Lane Kreger | Speech-Language Pathologist | 2753 Shangri La Dr, Jacksonville, FL 32233 | 2016-05-15 |
| 1407233489 | Meghan Braun | Physical Therapist | 2159 Featherwood Drive West, Atlantic Beach, FL 32233 | 2015-04-29 |
| 1184979908 | Hope and A Future Ministries, Inc. | Clinic/Center | 680 Mayport Rd., Atlantic Beach, FL 32233 | 2012-07-18 |
| 1003171588 | Cheryl M Thacker | Massage Therapist | 531 Atlantic Boulevard, Ste 7, Atlantic Beach, FL 32233 | 2012-07-10 |
| 1730465451 | Jeffery Kreck | Physical Therapy Assistant | 1401 Defender Court West, Atlantic Beach, FL 32233 | 2011-10-26 |
| 1992977029 | Jax Rx Inc | Durable Medical Equipment & Medical Supplies | 1174 Beach Ave, Atlantic Beach, FL 32233 | 2008-03-28 |
| 1336368059 | Lovell L. Farris | Dentist | 10 10th St, Unit 3a, Atlantic Beach, FL 32233 | 2007-04-24 |
| 1033284922 | Maureen C Baxter | Nurse Practitioner | 815 Plaza, Jacksonville, FL 32233 | 2006-11-24 |
| Find all providers in zip 32233 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548354970 | Michael Wayne Dukes | Dentist | 100 Royal Palms Dr., Atlantic Beach, FL 32233-3921 | 2006-10-02 |
| 1578662284 | Edsel Neil Cline | Dentist | 501 Atlantic Beach Cswy, Atlantic Beach, NC 28512-7341 | 2006-09-21 |
| 1750906293 | Suset Romano | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2020-06-10 |
| 1255991972 | Ryan Parker | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2019-06-14 |
| 1841783222 | Sarah J Veazey | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2018-06-11 |
| 1801300942 | Ada Chung | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2017-11-28 |
| 1851704654 | Sara Makary | Dentist | 1023 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | 2014-06-09 |
| 1407042716 | Drs. Cameron, Cline & Associates, Pllc | Dentist | 501 Atlantic Beach Cswy, Atlantic Beach, NC 28512-7341 | 2007-09-20 |
| 1255430138 | Julian Everett Cameron Jr. | Dentist | 501 Atlantic Beach Cswy, Atlantic Beach, NC 28512-7341 | 2006-09-21 |
| 1245339092 | J. E. Cameron, D.d.s. | Dentist | 501 Atlantic Beach Cswy, Atlantic Beach, NC 28512-7341 | 2006-09-21 |
| Find all providers in ATLANTIC BEACH | ||||
| City | ATLANTIC BEACH |
| Zip Code | 32233 |
Please comment or provide details below to improve the information on ERIC T. BROE.
| 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.