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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689640732 | NPPES |
| Florida | MEDICAID | 292030100 |
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