Healthcare Provider Details

I. General information

NPI: 1144837113
Provider Name (Legal Business Name): ALISON JOYCE BROOKS B.S., M.E.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11905 E COLONIAL DR
ORLANDO FL
32826-4725
US

IV. Provider business mailing address

11905 E COLONIAL DR
ORLANDO FL
32826-4725
US

V. Phone/Fax

Practice location:
  • Phone: 407-668-4546
  • Fax: 407-271-4939
Mailing address:
  • Phone: 407-668-4546
  • Fax: 407-271-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: