Individual
PATRICIA ANN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 PENROSE CT, APOPKA, FL 32703-6970
(407) 880-8045
(407) 814-0103
Mailing address
305 PENROSE CT, APOPKA, FL 32703-6970
(407) 880-8045
(407) 814-0103
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B620681555120
DRIVER'S LICENSE
FL
Enumeration date
05/16/2013
Last updated
05/16/2013
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