Individual
MRS. ANGELA C BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED.CCC-SLP
Contact information
Practice address
10547 PEPPERGRASS CT, TRINITY, FL 34655-5045
(727) 222-3762
Mailing address
5563 SUMMIT VIEW DR, BROOKSVILLE, FL 34601
(912) 381-7391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8713
FL
Other
Enumeration date
10/29/2021
Last updated
10/31/2021
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