Healthcare Provider Details

I. General information

NPI: 1851725311
Provider Name (Legal Business Name): CHARLES A BROOKS ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2013
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NW 35TH AVENUE RD
OCALA FL
34475-4630
US

IV. Provider business mailing address

PO BOX 100186
GAINESVILLE FL
32610-0186
US

V. Phone/Fax

Practice location:
  • Phone: 352-280-7400
  • Fax: 352-280-7401
Mailing address:
  • Phone: 352-265-5911
  • Fax: 352-265-5606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9249981
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: