Doctor Name: | DR. TIMOTHY DUANE BROOKS |
NPI Number: | 1518282417 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME43585 |
Business Practice Address: | 4806 Rosemont Pl Pensacola, FL - 325147909 |
Business Phone Number: | 8504767707 |
Business Fax Number: | 8509959440 |
Mailing Address: | Po Box 11247, PENSACOLA |
State: | FL |
Postal Code: | 325241247 |
Phone Number: | 8504767707 |
Fax Number: | 8509959440 |
NPI Enumeration Date: | 04/02/2010 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME43585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |