Brooks, Jeffrey B

Brooks, Jeffrey B is an individual health care provider with primary practice located at 999 N Stone St Ste B , Deland FL 32720-0800. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Brooks, Jeffrey B can be contacted via phone (386) 740-4015.

Contact Information

Primary practice address
999 N Stone St Ste B Deland FL 32720-0800
Phone: (386) 740-4015
Fax: (386) 736-7998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0026840 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME26840 Florida

Profile Details

NPI number 1487650495
LBN Legal business name Brooks, Jeffrey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 31st, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487650495 NPPES
Florida MEDICAID 037821600

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