Organization
BROOKS CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. BROOKS D.C. (CHIROPRACTIC PHYSICIAN)
(850) 994-1147
Entity
Organization
Contact information
Practice address
5261 HIGHWAY 90, PACE, FL 32571-1532
(850) 994-1147
(850) 994-1104
Mailing address
5261 HIGHWAY 90, PACE, FL 32571-1532
(850) 994-1147
(850) 994-1104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4276754
AETNA
FL
01
—
88558
BLUE CROSS BLUE SHIELD
FL
01
—
88558Z
MEDICARE INDIVIDUAL
FL
Enumeration date
11/20/2007
Last updated
11/27/2007
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