# BROOKS CHIROPRACTIC CLINIC, INC.

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

## Provider details

- **NPI number:** 1477734242
- **Authorized official:** DR. MICHAEL C. BROOKS D.C. (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (850) 994-1147

## Contact information

- **Practice address:** 5261 HIGHWAY 90, PACE, FL 32571-1532
- **Practice address phone:** (850) 994-1147
- **Practice address fax:** (850) 994-1104
- **Mailing address:** 5261 HIGHWAY 90, PACE, FL 32571-1532
- **Mailing address phone:** (850) 994-1147
- **Mailing address fax:** (850) 994-1104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH0003384 | FL | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 11/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4276754 | AETNA | FL |
| 01 | — | 88558 | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | 88558Z | MEDICARE INDIVIDUAL | FL |