Individual
MR. SHAWN EDWARD BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
5602 59TH WAY N, SAINT PETERSBURG, FL 33709-1828
(727) 709-2055
Mailing address
5602 59TH WAY N, SAINT PETERSBURG, FL 33709-1828
(727) 709-2055
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5168719
FL
Other
Enumeration date
10/27/2007
Last updated
10/27/2007
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