Provider Demographics
NPI:1396171286
Name:BROOKS, GABRIEL ANDREW (PHARMD)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ANDREW
Last Name:BROOKS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 W NEWBERRY RD
Mailing Address - Street 2:GAINESVILLE
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6728
Mailing Address - Country:US
Mailing Address - Phone:352-333-7916
Mailing Address - Fax:
Practice Address - Street 1:1615 NW 13TH ST
Practice Address - Street 2:GAINESVILLE
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3418
Practice Address - Country:US
Practice Address - Phone:352-380-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist