Provider Demographics
NPI:1205413697
Name:BROOME, AMANDA R J (DC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:R J
Last Name:BROOME
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1558 NE 162ND ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4716
Mailing Address - Country:US
Mailing Address - Phone:786-245-7444
Mailing Address - Fax:786-863-8005
Practice Address - Street 1:1558 NE 162ND ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4716
Practice Address - Country:US
Practice Address - Phone:786-245-7444
Practice Address - Fax:786-863-8005
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00687111N00000X
FLCH15414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor