MEDICARE: BROOKSVILLE PROPERTY RESOURCES INC

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	283Q00000X	Psychiatric Hospital	4205	FL

General Provider Information

NPI Number	:	1659557866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKSVILLE PROPERTY RESOURCES INC

Provider Business Mailing Address
First Line	:	7074 GROVE RD STE 129
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-8658
Country	:	US
Telephone Number	:	352-597-5075
Fax Number	:

Provider Business Practice Location Address
First Line	:	7007 GROVE RD
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34609-8610
Country	:	US
Telephone Number	:	352-597-4306
Fax Number	:	352-596-4336

Authorized Official
Title or Position	:	DIRECTOR REVENUE CYCLE MANAGEMENT
Name	:	TRACY ROBERTS
Credential	:
Telephone Number	:	423-895-0084

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	11/06/2024

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Directions to “BROOKSVILLE PROPERTY RESOURCES INC ” Practice Location

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