Provider Demographics
NPI:1770284895
Name:BROOKS, SARAH ROSE (DC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSE
Last Name:BROOKS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ROSE
Other - Last Name:WHELAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:580 RINEHART RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-1551
Mailing Address - Country:US
Mailing Address - Phone:407-440-1436
Mailing Address - Fax:
Practice Address - Street 1:580 RINEHART RD STE 100
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1551
Practice Address - Country:US
Practice Address - Phone:407-440-1436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor