Individual
BROOKS MICHAEL WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
130 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086
(904) 826-3469
(904) 808-4608
Mailing address
130 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086
(904) 826-3469
(904) 808-4608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106470
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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