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Individual
STEPHEN JOHN DAVID BROOKS
Active
Individual
STEPHEN JOHN DAVID BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME39995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039675300
—
FL
01
—
K1951A
BPC GRP PTAN
FL
Enumeration date
04/13/2007
Last updated
04/17/2009
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