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Organization
PEAKLIFE MEDICAL GROUP LLC
Active
Organization
PEAKLIFE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAVARIS BROOKS APRN (PROVIDER)
(850) 525-9684
Entity
Organization
Contact information
Practice address
9 W BLOUNT ST, PENSACOLA, FL 32501-2614
(850) 525-9684
Mailing address
101 PALAFOX PL # 13132, PENSACOLA, FL 32502-5629
(850) 525-9684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/31/2021
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