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Contact Information

BROOKS M WHALEN, PA
130 HEALTH PARK BLVD
SAINT AUGUSTINE, FL32086
 Phone: 904-826-3469
 Fax: 904-808-4608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BROOKS M WHALEN · (Male)

NPI # 1245506799
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9106470
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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