Individual
DR. BROOKE MARY FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5871
(704) 512-3751
Mailing address
1861 NW SOUTH RIVER DR UNIT 1002, MIAMI, FL 33125-2721
(401) 636-7454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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