Henry Brooks
Student in an Organized Health Care Education/Training Program in Gainesville, FL. Individual provider (NPI-1).
NPI number1679489652
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1679489652
- Entity type
- Individual (NPI-1)
- Name
- Henry Brooks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2026
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | DRPM3095 | FL | Yes |
Practice location
1395 Center DrGainesville, FL 32610-0001
Phone 352-273-7643
Mailing address
1395 Center DriveGainesville, FL 32610-0001
Phone 919-480-6968
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