Healthcare Provider Details

I. General information

NPI: 1629372982
Provider Name (Legal Business Name): LEIGHTON A. BROOKS, MD, COMPREHENSIVE HEALTH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2010
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 W COMMERCIAL BLVD
TAMARAC FL
33319-2115
US

IV. Provider business mailing address

6750 W COMMERCIAL BLVD
TAMARAC FL
33319-2115
US

V. Phone/Fax

Practice location:
  • Phone: 954-748-7962
  • Fax: 954-748-7595
Mailing address:
  • Phone: 954-748-7962
  • Fax: 954-748-7595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME107579
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME107579
License Number StateFL

VIII. Authorized Official

Name: DR. LEIGHTON ANDREW BROOKS
Title or Position: CEO
Credential: M.D.
Phone: 954-748-7962