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1124310339
REBECCA R BROCK
LAKELAND, FL
NPI
1124310339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9105902)
Enumeration Date
2011-05-05
Last Update Date
2023-11-27
Business Address
Ms. REBECCA R BROCK PA
1755 N FLORIDA AVE
LAKELAND, FL 33805-3109
Phone number: 863-904-6201
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Mailing Address
Ms. REBECCA R BROCK PA
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805-4973
Phone number: 863-680-7000
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