Derek Powell Brock in North Palm Beach - Surgical Critical Care
Derek Powell Brock - NPI 1417028614
Derek Powell Brock is a Surgical Critical Care in North Palm Beach, Florida. Derek Powell Brock practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Derek Powell Brock is 1417028614. The last update date is 2007-07-08.
Derek Powell Brock's current location address is 836 Lakeside Dr, North Palm Beach, Florida. You can contact this provider via phone number 5616224664. The mailing address for Derek Powell Brock is 836 Lakeside Dr, North Palm Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Powell Brock |
|---|---|
| Address | 836 Lakeside Dr, North Palm Beach, Florida |
| Phone Number | 5616224664 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417028614 |
|---|---|
| Provider Enumeration Date | 2006-11-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 836 Lakeside Dr |
|---|---|
| City | North Palm Beach |
| State | Florida (FL) |
| Post Code | 334083810 |
| Phone Number | 5616224664 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | ME8906 |
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Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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What is the unique identification code assigned to Derek Powell Brock by the Centers for Medicare & Medicaid Services?
The Derek Powell Brock has been issued the NPI (National Provider Identifier) 1417028614. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Derek Powell Brock's facilities are geographically located?
The facilities of Derek Powell Brock are physically situated at the following location: 836 Lakeside Dr, North Palm Beach, FL, 334083810.
What is the Derek Powell Brock's specialty and taxonomy code?
The Derek Powell Brock's specialty is Surgical Critical Care, and the corresponding taxonomy code is 2086S0102X.
On what date did the Derek Powell Brock receive its 1417028614 assignment from the Centers for Medicare & Medicaid Services?
The Derek Powell Brock was assigned its 1417028614 by the Centers for Medicare & Medicaid Services on 2006-11-11.
As of what date were the Derek Powell Brock's details last updated?
The information pertaining to the Derek Powell Brock, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC