Individual
DR. PAUL DAVIS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2201 E NINE MILE RD, PENSACOLA, FL 32514-7772
(850) 479-6250
(850) 497-6314
Mailing address
2201 E NINE MILE RD, PENSACOLA, FL 32514-7772
(850) 479-6250
(850) 497-6314
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202919095
TAX ID
FL
01
—
65762
BCBS
FL
Enumeration date
10/12/2005
Last updated
11/22/2013
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