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NPI Code Detail

MEDICARE: TIFFANI BRIANA BROOKS

MEDICARE: TIFFANI BRIANA BROOKS
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
1163W00000XRegistered NurseRN9562858FL

General Provider Information

NPI Number : 1851967145
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANI BRIANA BROOKS
Provider Business Mailing Address
First Line : 356 NW 11TH ST APT 2
Second Line :
City : BELLE GLADE
State : FL
Zip : 33430-2963
Country : US
Telephone Number : 561-985-8433
Fax Number :
Provider Business Practice Location Address
First Line : 3060 MELALEUCA LN
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-5174
Country : US
Telephone Number : 561-357-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2021
Last Update Date : 05/27/2021

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Directions to “ TIFFANI BRIANA BROOKS ” Practice Location

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