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Individual

STUART BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-7545
(813) 974-7544
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME50157
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03912
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/05/2006
Last updated
12/27/2007
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