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Individual

BROOKE ANN DEROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9120557
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128482900
FL
01
8QTA3
BCBS
FL
Enumeration date
05/22/2023
Last updated
11/17/2025
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