Individual
DR. EARL MARK BREWSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 330-5074
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 330-5074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME126781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017069700
—
FL
01
—
ME126781
STATE LICENSE
FL
Enumeration date
03/31/2008
Last updated
03/07/2023
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