Provider Demographics
NPI:1194080655
Name:BROCKMAN, RHONDA JO (ARNP)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:JO
Last Name:BROCKMAN
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:3566 COSMOS ST
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5641
Mailing Address - Country:US
Mailing Address - Phone:561-234-0989
Mailing Address - Fax:561-624-0420
Practice Address - Street 1:100 NORTHPOINT PKWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1906
Practice Address - Country:US
Practice Address - Phone:561-686-3859
Practice Address - Fax:561-686-4755
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL1201012364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health