Doctor Name: | BROOKE AUSTIN |
NPI Number: | 1003109604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | EL-1745 |
Business Practice Address: | 9955 Tamiami Trail North Suite 1 Naples, FL - 34108 |
Business Phone Number: | 2395668800 |
Business Fax Number: | 2395668778 |
Mailing Address: | 9955 Tamiami Trl N, Suite 1 NAPLES |
State: | FL |
Postal Code: | 341081914 |
Phone Number: | 2395668800 |
Fax Number: | 2385668778 |
NPI Enumeration Date: | 05/16/2011 |
NPI Last Update Date: | 04/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | EL-1745 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |