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Organization
MARK G BROOKS M D P A
Active
Organization
MARK G BROOKS M D P A
Active
Other names
Horizon Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
IDA BONILLA (PA)
(407) 578-6610
Entity
Organization
Contact information
Practice address
3872 OLD WINTER GARDEN RD, SUITE 300 B, GOTHA, FL 34734
(407) 578-6610
(407) 578-2247
Mailing address
3872 OLD WINTER GARDEN RD, SUITE 300 B, GOTHA, FL 34734
(407) 578-6610
(407) 578-2247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0070398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110221576
RAILROAD MEDICARE
FL
01
—
97989
BCBS
FL
Enumeration date
10/11/2005
Last updated
08/31/2026
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