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Individual
BROOKE DIFEDE
Active
Individual
BROOKE DIFEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA786
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
AA786
FL
207LP3000X
Pediatric Anesthesiology Physician
AA786
FL
367H00000X
Anesthesiologist Assistant
AA786
FL
367H00000X
Anesthesiologist Assistant
Primary
—
TX
Other
Enumeration date
11/02/2022
Last updated
01/08/2025
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