Organization
BROOKS MANAGEMENT
Active
Organization
BROOKS MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C JAWITZ M.D. (PRESIDENT)
(941) 755-2255
Entity
Organization
Contact information
Practice address
2919 26TH ST W, BRADENTON, FL 34205-3737
(941) 755-2255
(941) 756-4465
Mailing address
2919 26TH ST W, BRADENTON, FL 34205-3737
(941) 755-2255
(941) 756-4465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME44267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068779100
—
FL
Enumeration date
12/01/2010
Last updated
12/01/2010
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