Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME99899 | FL |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME99899 | FL |
NPI | 1144305715 |
---|---|
Provider Name | Dr. Katherine Louise Brazzale |
First Address | West Palm Beach, FL 33407-2387 |
Second Address | West Palm Beach, FL 33407-2387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 13/10/2020 |