Individual
CHARLES R BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3155
(863) 299-1251
(863) 299-7666
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME75946
FL
207YX0602X
Otolaryngic Allergy Physician
ME75481
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME75946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255392-900
—
FL
Enumeration date
07/17/2006
Last updated
09/20/2022
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