Brooker, Charles R
Brooker, Charles R is an individual health care provider with primary practice located at 160 E Lake Howard Dr , Winter Haven FL 33881-3155. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Brooker, Charles R can be contacted via phone (863) 299-1251.Contact Information
Primary practice address
160 E Lake Howard Dr
Winter Haven FL 33881-3155
Phone: (863) 299-1251
Fax: (863) 299-7666
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | ME75481 | Florida |
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | ME75946 | Florida |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME75946 | Florida |
Profile Details
NPI number | 1922026335 |
---|---|
LBN Legal business name | Brooker, Charles R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Sep 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922026335 | NPPES |
Florida | MEDICAID | 255392-900 |
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