Healthcare Provider Details

I. General information

NPI: 1407772304
Provider Name (Legal Business Name): BROOKE ANN CARY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 113TH ST
SEMINOLE FL
33772-2800
US

IV. Provider business mailing address

6310 P G A DR
NORTH FORT MYERS FL
33917-3288
US

V. Phone/Fax

Practice location:
  • Phone: 727-893-5050
  • Fax:
Mailing address:
  • Phone: 239-848-6223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: