Brooks, Vicky

Brooks, Vicky is an individual health care provider with primary practice located at 13691 Metro Pkwy Ste 420 , Fort Myers FL 33912-4349. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brooks, Vicky can be contacted via phone (239) 215-4064.

Contact Information

Primary practice address
13691 Metro Pkwy Ste 420 Fort Myers FL 33912-4349
Phone: (239) 215-4064
Fax: (239) 215-4063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9219405 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9219405 Florida

Profile Details

NPI number 1336447838
LBN Legal business name Brooks, Vicky
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Jan 3rd, 2024 - about 11 months 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 1336447838 NPPES
Florida MEDICAID 006636900
Florida Other 9219405

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