Provider Demographics
NPI:1205726007
Name:BROOKS, RONESHA D (CNA)
Entity type:Individual
Prefix:
First Name:RONESHA
Middle Name:D
Last Name:BROOKS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:RONESHA
Other - Middle Name:D
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RONESHA ABRAMS
Mailing Address - Street 1:1443 PACIFIC RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5447
Mailing Address - Country:US
Mailing Address - Phone:407-473-2755
Mailing Address - Fax:
Practice Address - Street 1:1443 PACIFIC RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-5447
Practice Address - Country:US
Practice Address - Phone:407-473-2755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL240765374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty