Healthcare Provider Details
I. General information
NPI: 1528395019
Provider Name (Legal Business Name): BROOK ANNE CALTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/04/2009
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
880 SW 145TH AVE STE 202
PEMBROKE PINES FL
33027-6171
US
IV. Provider business mailing address
PO BOX 211699
EAGAN MN
55121-3699
US
V. Phone/Fax
- Phone: 866-849-0692
- Fax:
- Phone: 866-849-0692
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 0074517 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 70598 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 35C.001333 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 036168555 |
| License Number State | IL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | C3476 |
| License Number State | KY |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | MD.48155 |
| License Number State | AL |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 91897 |
| License Number State | SC |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 2024-00875 |
| License Number State | NC |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 2024050123 |
| License Number State | MO |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | E-18880 |
| License Number State | AR |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | 288187 |
| License Number State | MA |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | MD486056 |
| License Number State | PA |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | U7651 |
| License Number State | TX |
| # 14 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 15 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | ME165276 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
