Individual
BROOKE BESEROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 S CLARKE RD, OCOEE, FL 34761-6995
(352) 457-6581
Mailing address
10143 CR 738, WEBSTER, FL 33597-5525
(352) 457-6581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11024147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11024147
ADVANCED PRACTICE REGISTERED NURSE
FL
Enumeration date
02/03/2023
Last updated
07/31/2024
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