Provider Demographics
NPI:1659070167
Name:BROKUS, BRITTANY IRIS (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:IRIS
Last Name:BROKUS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4622 BIRCHFIELD LOOP
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0632
Mailing Address - Country:US
Mailing Address - Phone:727-809-1313
Mailing Address - Fax:
Practice Address - Street 1:221 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5692
Practice Address - Country:US
Practice Address - Phone:352-666-0544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine