Individual
JEFFREY B BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N STONE ST STE B, DELAND, FL 32720-0800
(386) 740-4015
(386) 736-7998
Mailing address
999 N STONE ST STE B, DELAND, FL 32720-0800
(386) 740-4015
(386) 740-4017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0026840
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME26840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037821600
—
FL
Enumeration date
06/23/2005
Last updated
03/31/2023
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