| Mark G Brooks M D P a | |
|
3872 Old Winter Garden Rd Suite 300 B Gotha FL 34734 | |
| (407) 578-6610 | |
| (407) 578-2247 |
| Full Name | Mark G Brooks M D P a |
|---|---|
| Speciality | Internal Medicine |
| Location | 3872 Old Winter Garden Rd, Gotha, Florida |
| Authorized Official Name and Position | Ida Bonilla (PA) |
| Authorized Official Contact | 4075786610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Brooks M D P a 3872 Old Winter Garden Rd Suite 300 B Gotha FL 34734 Ph: (407) 578-6610 | Mark G Brooks M D P a 3872 Old Winter Garden Rd Suite 300 B Gotha FL 34734 Ph: (407) 578-6610 |
| NPI Number | 1629066907 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 10/02/2026 |
| Certification Date | 09/29/2026 |
| Medicare PECOS PAC ID | 9537135827 |
|---|---|
| Medicare Enrollment ID | O20040908000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629066907 | NPI | - | NPPES |
| 110221576 | Other | FL | RAILROAD MEDICARE |
| 97989 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0070398 (Florida) | Primary |
| Provider Name | Terry G Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679654537 PECOS PAC ID: 9638260128 Enrollment ID: I20070813000768 |
| Provider Name | Mark Gerald Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306927249 PECOS PAC ID: 0345216636 Enrollment ID: I20100914000389 |
| Provider Name | Pedro F Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255725628 PECOS PAC ID: 8628302213 Enrollment ID: I20190702001765 |