Individual
JEANNETTE D BROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(239) 362-7959
Mailing address
13960 PLANTATION RD, FORT MYERS, FL 33912-4303
(239) 343-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9590548
FL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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