Individual
MRS. AMY GOLDMAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR MAB, TAMPA, FL 33607-6307
(813) 357-0520
(813) 870-4790
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
ARNP9359486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008864600
—
FL
Enumeration date
10/18/2012
Last updated
01/16/2015
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