Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Johnnie Ray Brooks, PA-C

Individual provider Surgical Physician Assistant · NPI 1063436848

Mr. Johnnie Ray Brooks, PA-C is a Surgical Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1503 Oak St
Jacksonville, FL 32204-3910
Phone: (904) 634-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA 9103751 (FL)

Record details

NPI number1063436848
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007

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