Individual
DR. LAURA TERESA BROOKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2725 SE MARICAMP ROAD, OCALA, FL 34471
(352) 369-8700
(352) 698-8703
Mailing address
2725 SE MARICAMP ROAD, OCALA, FL 34471
(352) 369-8700
(352) 698-8703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H80972
MD
208000000X
Pediatrics Physician
Primary
OS10380
FL
208000000X
Pediatrics Physician
OS20052
FL
208D00000X
General Practice Physician
OS10380
FL
208M00000X
Hospitalist Physician
OS10380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002044000
—
FL
01
—
OS20052
MEDICAL LICENSE
FL
Enumeration date
05/17/2008
Last updated
06/06/2024
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