Individual
DR. JORDAN TROTTER BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8890 SALROSE LN, SUITE #203, FORT MYERS, FL 33912-2085
(239) 313-6011
(239) 313-6052
Mailing address
8890 SALROSE LN, SUITE #203, FORT MYERS, FL 33912-2085
(239) 313-6011
(239) 313-6052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621160700
—
FL
Enumeration date
10/06/2006
Last updated
10/24/2014
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