Brooks, Jerry

Brooks, Jerry is an individual health care provider with primary practice located at 201 E Sample Rd North Broward Ed, Pompano Beach FL 33064-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brooks, Jerry can be contacted via phone (954) 786-6400.

Contact Information

Primary practice address
201 E Sample Rd North Broward Ed Pompano Beach FL 33064-3502
Phone: (954) 786-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME59490 Florida

Profile Details

NPI number 1629064886
LBN Legal business name Brooks, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 15th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629064886 NPPES
Florida Other 12973 MEDICARE CORE

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