Individual
DR. JERRY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E SAMPLE RD, NORTH BROWARD ED, POMPANO BEACH, FL 33064-3502
(954) 786-6400
Mailing address
5524 ANDERSON WAY, BOCA RATON, FL 33486-8642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME59490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12973
MEDICARE CORE
FL
Enumeration date
09/23/2005
Last updated
02/15/2008
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