# PEAKLIFE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477127389
- **Authorized official:** TAVARIS BROOKS APRN (PROVIDER)
- **Authorized official phone:** (850) 525-9684

## Contact information

- **Practice address:** 9 W BLOUNT ST, PENSACOLA, FL 32501-2614
- **Practice address phone:** (850) 525-9684
- **Mailing address:** 101 PALAFOX PL \# 13132, PENSACOLA, FL 32502-5629
- **Mailing address phone:** (850) 525-9684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2021
- **Last updated:** 05/31/2021