Provider Demographics
NPI:1770087322
Name:BROOKS, ZACHARY B (APRN)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:B
Last Name:BROOKS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9961 W COLONIAL DR STE 108
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3428
Mailing Address - Country:US
Mailing Address - Phone:407-347-0772
Mailing Address - Fax:
Practice Address - Street 1:9961 W COLONIAL DR STE 108
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3428
Practice Address - Country:US
Practice Address - Phone:407-347-0772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9338531363LA2200X, 363LG0600X
FLARNP9338531363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner