Brooks, Mark G
Brooks, Mark G is an sole proprietor health care provider with primary practice located at 10000 W Colonial Dr Suite 187, Ocoee FL 34761-3498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brooks, Mark G can be contacted via phone (407) 578-6610.Contact Information
Primary practice address
10000 W Colonial Dr Suite 187
Ocoee FL 34761-3498
Phone: (407) 578-6610
Fax: (407) 578-2247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME70398 | Florida |
Profile Details
| NPI number | 1306927249 |
|---|---|
| LBN Legal business name | Brooks, Mark G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Feb 7th, 2012 - about 12 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 | 1306927249 | NPPES |
| Florida | Other | 31937 | BCBS |
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