Brooks Management

NPI 1093017774 - Dermatology - 207N00000X

NPI Details
NPI 1093017774
Enumeration Date 12/01/2010
Last Updated 12/01/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JACK C JACK
Position PRESIDENT
Phone (941) 755-2255
Fax (941) 756-4465
Practice Location
2919 26TH ST W
BRADENTON FL, 34205-3737, US
Phone (941) 755-2255
Fax (941) 756-4465
Business Location
2919 26TH ST W
BRADENTON FL, 34205-3737, US
Phone (941) 755-2255
Fax (941) 756-4465
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number ME44267
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According to our database, Brooks Management NPI is 1093017774, taxonomy code is 207N00000X and license number is ME44267, license state is located at Florida. Brooks Management physically located at 2919 26th St W, Bradenton FL, 34205-3737. NPI Number 1033115704 has the healthcare provider type.

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1093017774 NPI number is provided on an as is basis without warranty of any kind. 1093017774 is maintained by the National Plan & Provider Enumeration System. The contents of Brooks Management are for informational purposes only.