Individual
REBECCA TROWBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
701 SHARON TER, FORT PIERCE, FL 34982-6518
(772) 285-4657
Mailing address
701 SHARON TER, FORT PIERCE, FL 34982-6518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA30769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1469
BCBSF
FL
Enumeration date
03/14/2012
Last updated
03/14/2012
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