| Doctor Name: | BROOKE PEREZ |
| NPI Number: | 1114321882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA1489 |
| Business Practice Address: | 35 Miles St Damariscotta, ME - 045434047 |
| Business Phone Number: | 2075634146 |
| Business Fax Number: | 2075634389 |
| Mailing Address: | 39 Miles St, DAMARISCOTTA |
| State: | ME |
| Postal Code: | 045434047 |
| Phone Number: | 2075631040 |
| Fax Number: | 2075631039 |
| NPI Enumeration Date: | 10/09/2014 |
| NPI Last Update Date: | 10/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA1489 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |