DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHNNIE RAY BROOKS, PA-C

Active Sole Proprietor

MR. JOHNNIE RAY BROOKS, PA-C is a Surgical Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1063436848 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1063436848
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.096234046807 yrs)
Last Updated
Jul 8, 2007
License
PA 9103751 (FL)
Sole Proprietor
Yes

Practice Information

Address
1503 OAK ST
JACKSONVILLE, FL, 322043910
Browse FL providers · Browse ZIP 32204
Phone
9046340640
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
JAMES A ARRECHE PA-C 1548264393
SHERRI ANN ROBERTS PA-C 1124022975
KRIS H STIPE PA-C 1770587545
NOEL MASTERS PERRY 1871597567
CARLTON R MCCARTHY 1205830908
TAMMEZA GIBSON PA 1972502268
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.