Individual
MICHELLE L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2713 W VIRGINIA AVE, TAMPA, FL 33607-6327
(813) 873-8102
Mailing address
2713 W VIRGINIA AVE, TAMPA, FL 33607-6327
(813) 873-8102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5221139
FL
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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