MEDICARE: BROOKE MARGOL ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP9215460	FL

General Provider Information

NPI Number	:	1033481304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE MARGOL ARNP

Provider Business Mailing Address
First Line	:	7807 BAYMEADOWS RD E STE 405
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9668
Country	:	US
Telephone Number	:	904-203-8671
Fax Number	:	904-561-2128

Provider Business Practice Location Address
First Line	:	7807 BAYMEADOWS RD E STE 405
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9668
Country	:	US
Telephone Number	:	904-203-8671
Fax Number	:	904-561-2128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2012
Last Update Date	:	01/14/2026

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