Organization
BROOKS & POTTINGER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B BROOKS M.D. (PRESIDENT)
(386) 736-6110
Entity
Organization
Contact information
Practice address
850 W PLYMOUTH AVENUE, DELAND, FL 32720
(386) 736-6110
(386) 736-7998
Mailing address
850 W PLYMOUTH AVENUE, DELAND, FL 32720
(386) 736-6110
(386) 736-7998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0026840
FL
207V00000X
Obstetrics & Gynecology Physician
ME103639
FL
367A00000X
Advanced Practice Midwife
1053372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253359600
—
FL
Enumeration date
08/12/2006
Last updated
09/02/2011
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