Individual
GERARD THOMAS BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Mailing address
4541 EMERALD VIS APT F245, LAKE WORTH, FL 33461-7239
(434) 944-7413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6105
FL
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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