MEDICARE: ANNA 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
1	2355S0801X	Speech-Language Assistant	SI4868	FL

General Provider Information

NPI Number	:	1942875596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA BROOKS

Provider Business Mailing Address
First Line	:	1038 CHATHAM PINES CIR APT 206
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5245
Country	:	US
Telephone Number	:	321-356-2390
Fax Number	:

Provider Business Practice Location Address
First Line	:	1038 CHATHAM PINES CIR APT 206
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5245
Country	:	US
Telephone Number	:	321-356-2390
Fax Number	:

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

Provider Enumeration Date	:	05/26/2021
Last Update Date	:	05/26/2021

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Directions to “ ANNA BROOKS ” Practice Location

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