| Larry Brooks, Ph.d., Llc | |
|
80 Sw 8th St Ste 2185 Miami FL 33130-3004 | |
| (786) 303-1991 | |
| Not Available |
| Full Name | Larry Brooks, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 80 Sw 8th St Ste 2185, Miami, Florida |
| Authorized Official Name and Position | Jose Flores (ACCOUNTS SPECIALIST) |
| Authorized Official Contact | 7542012265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Brooks, Ph.d., Llc 3810 Hollywood Blvd Ste 2 Hollywood FL 33021-6779 Ph: (786) 303-1991 | Larry Brooks, Ph.d., Llc 80 Sw 8th St Ste 2185 Miami FL 33130-3004 Ph: (786) 303-1991 |
| NPI Number | 1669716247 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 6608028899 |
|---|---|
| Medicare Enrollment ID | O20130109000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669716247 | NPI | - | NPPES |
| PY8127 | Other | FL | DOH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY8127 (Florida) | Secondary |
| 103T00000X | Psychologist | PY8127 (Florida) | Primary |
| Provider Name | Lawrence G Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548577034 PECOS PAC ID: 3971798604 Enrollment ID: I20101108001230 |
| Provider Name | Robin A Avery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407263999 PECOS PAC ID: 8729208152 Enrollment ID: I20141006002245 |
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