Individual
JAY P BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7839
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001
(352) 273-7839
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
23549
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME111220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004215300
—
FL
Enumeration date
03/16/2006
Last updated
12/29/2011
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