Mitzi C Brock in Jacksonville - Obstetrics & Gynecology
Mitzi C Brock - NPI 1417956970
Mitzi C Brock is a Obstetrics & Gynecology in Jacksonville, Florida. Mitzi C Brock practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Mitzi C Brock is 1417956970. The last update date is 2023-03-07.
Mitzi C Brock's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042625333 and fax number 9042625337. The mailing address for Mitzi C Brock is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitzi C Brock |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042625333 |
| Fax Number | 9042625337 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417956970 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231627 |
| Phone Number | 9042625333 |
| Fax Number | 9042625337 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | ME78839 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263632800 | FL | MEDIPASS | |
| 17343 | FL | BCBS | |
| P00187785 | FL | MEDICARE RAILROAD | |
| 263632800 | FL | -- | |
| 285303 | FL | AVMED | |
| ME78839 | FL | MEDICAL LICENSE |
Post Comment/ Review Below
Could you share the physical location details of Mitzi C Brock?
The Mitzi C Brock is situated at 11945 San Jose Blvd, in the city of Jacksonville, state of FL, with the zip code 322231627.
What is Mitzi C Brock's area of expertise and its corresponding taxonomy classification?
The Mitzi C Brock's field of specialization is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their areas of practice.
What is Mitzi C Brock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mitzi C Brock is Obstetrics & Gynecology, and the taxonomy code that classifies this field of practice is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417956970 to Mitzi C Brock?
The Centers for Medicare & Medicaid Services originally issued the 1417956970 to Mitzi C Brock on 2005-07-18.
As of what date were the details pertaining to Mitzi C Brock last refreshed?
The information related to the Mitzi C Brock, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY