Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Wilson

Individual provider Mastectomy Fitter · NPI 1508330481

Brooke Wilson is a Mastectomy Fitter in Haines City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

1920 Verano Dr Ste 105
Haines City, FL 33844-8585
Phone: (404) 459-4976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mastectomy Fitter (primary) Taxonomy 224900000X (FL)

Record details

NPI number1508330481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2019
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address1920 Verano Dr Ste 105, Haines City, FL 33844-8585