Brooks, Sandra L

Brooks, Sandra L is an individual health care provider with primary practice located at 533 N Nova Rd Ste 203 , Ormond Beach FL 32174-4422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brooks, Sandra L can be contacted via phone (386) 672-7175.

Contact Information

Primary practice address
533 N Nova Rd Ste 203 Ormond Beach FL 32174-4422
Phone: (386) 672-7175
Fax: (386) 672-0771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2650922 Florida

Profile Details

NPI number 1790783207
LBN Legal business name Brooks, Sandra L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 22nd, 2016 - about 10 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 1790783207 NPPES
Florida MEDICAID 305058100
Florida Other 1790783207

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