location
search-icon
person
Dr. Mitzi C Brock, MD
Obstetrics & Gynecology Physician in Jacksonville, Florida
NPI 1417956970

Mitzi C Brock is a Obstetrics & Gynecology Physician based in Jacksonville, FL. Mitzi C Brock practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Mitzi C Brock is 1417956970 and holds a License No. ME78839 (Florida).

The current practice location address for Mitzi C Brock is 11945 San Jose Blvd, Jacksonville, FL and can be reached out via phone at 904-262-5333 and via fax at 904-262-5337.

Location: 11945 San Jose Blvd, Jacksonville, FL, 32223-1627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417956970
Provider Name
Mitzi C Brock
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11945 San Jose Blvd, Jacksonville, FL, 32223-1627
Phone Number
904-262-5333
Fax Number
904-262-5337
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
263632800 01 FL MEDIPASS
17343 01 FL BCBS
P00187785 01 FL MEDICARE RAILROAD
263632800 05 FL
285303 01 FL AVMED
ME78839 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
11945 San Jose Blvd
City
Jacksonville
State
Florida
Zip
32223-1613
Phone Number
904-262-5333
Fax Number
904-262-5337
person
Provider Business Mailing Address Details
Address
11945 San Jose Blvd
City
Jacksonville
State
Florida
Zip
32223-1613
Phone Number
904-262-5333
Fax Number
904-262-5337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
ME78839 (Florida)
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 a primary physician for women.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.