Organization
BROOKS HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER K BROOKS MD (MANAGING OWNER)
(352) 333-5918
Entity
Organization
Contact information
Practice address
6400 W NEWBERRY RD, STE 104, GAINESVILLE, FL 32605-6605
(352) 333-5918
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME48769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007ZU
FL BLUE
FL
05
—
013216400
—
FL
Enumeration date
09/09/2014
Last updated
08/24/2015
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