Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | EL-1745 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | PO3500 | FL |
NPI | 1003109604 |
---|---|
Provider Name | Brooke Austin |
First Address | Naples, FL 34119-3900 |
Second Address | Naples, FL 34119-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 08/08/2016 |