Brooks Michael Whalen PA

NPI 1245506799 - Physician Assistant - 363A00000X

NPI Details
NPI 1245506799
Gender Male
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
130 HEALTH PARK BLVD
SAINT AUGUSTINE FL, 32086, US
Phone (904) 826-3469
Fax (904) 808-4608
Business Location
130 HEALTH PARK BLVD
SAINT AUGUSTINE FL, 32086, US
Phone (904) 826-3469
Fax (904) 808-4608
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9106470
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According to our database, Brooks Michael Whalen PA NPI is 1245506799, taxonomy code is 363A00000X and license number is PA9106470, license state is located at Florida. Brooks Michael Whalen PA physically located at 130 Health Park Blvd, Saint Augustine FL, 32086. NPI Number Brooks Michael Whalen PA has the Individual type.

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1245506799 NPI number is provided on an as is basis without warranty of any kind. 1245506799 is maintained by the National Plan & Provider Enumeration System. The contents of Brooks Michael Whalen PA are for informational purposes only.