Organization
BROCK S FREAR DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK S FREAR DC (OWNER)
(239) 690-7794
Entity
Organization
Contact information
Practice address
11621 S CLEVELAND AVE STE 80, FORT MYERS, FL 33907-2866
(239) 690-7794
Mailing address
11621 S CLEVELAND AVE STE 80, FORT MYERS, FL 33907-2866
(239) 690-7794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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