Brooks, Harold Logan

Brooks, Harold Logan is an individual health care provider with primary practice located at 2439 Care Dr , Tallahassee FL 32308-4580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brooks, Harold Logan can be contacted via phone (850) 942-6700.

Contact Information

Primary practice address
2439 Care Dr Tallahassee FL 32308-4580
Phone: (850) 942-6700
Fax: (850) 942-5735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME42558 Florida

Profile Details

NPI number 1831157890
LBN Legal business name Brooks, Harold Logan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 20th, 2015 - about 11 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 1831157890 NPPES
Florida MEDICAID 061841100
Florida MEDICAID 000419746A

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