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NPI Code Detail

MEDICARE: MRS. ANDREA S. BROOKS M.A., CCC/A

MEDICARE: MRS. ANDREA S. BROOKS M.A., CCC/A
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
1231H00000XAudiologistAY 75FL

General Provider Information

NPI Number : 1457370900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA S. BROOKS M.A., CCC/A
Provider Business Mailing Address
First Line : 5010 NW 112TH DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-2776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 W OAKLAND PARK BLVD
Second Line : SUITE 306
City : OAKLAND PARK
State : FL
Zip : 33311-1370
Country : US
Telephone Number : 954-731-7200
Fax Number : 954-485-6336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. ANDREA S. BROOKS M.A., CCC/A” Practice Location

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