Individual
ROBERT GERALD BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC19, TAMPA, FL 33612-4742
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME44411
FL
207RI0200X
Infectious Disease Physician
Primary
ME44411
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME44411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001254000
—
FL
01
—
47640
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/13/2009
Last updated
03/14/2011
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