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Individual
TRISTAN BROOKS
Active
Individual
TRISTAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS16117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108191300
—
FL
Enumeration date
05/18/2017
Last updated
04/19/2021
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