Brock, Ann V

Brock, Ann V is an individual health care provider with primary practice located at 13340 Metro Pkwy Ste 400 , Fort Myers FL 33966-4818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Brock, Ann V can be contacted via phone (239) 343-1105.

Contact Information

Primary practice address
13340 Metro Pkwy Ste 400 Fort Myers FL 33966-4818
Phone: (239) 343-1105
Fax: (239) 343-1106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102723 Florida

Profile Details

NPI number 1689640732
LBN Legal business name Brock, Ann V
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689640732 NPPES
Florida MEDICAID 292030100

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