MRS. MARJA J SPROCK (NPI# 1336216704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336216704 |
| Entity Type | Individual |
| Full Name | MRS. MARJA J SPROCK |
| Credential | M.D. |
| Practice Address |
101 Eyster Blvd Rockledge FL 32955 |
| Mailing Address |
101 Eyster Blvd Marja J Sprock Md Pllc Dba Central Florida Urogynecolog Rockledge FL 32955 |
| Practice Telephone | 3218063929 |
| Practice Fax Number | 3218063928 |
| Mailing Telephone | 3218063929 |
| Mailing Fax Number | 3218063928 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ME100296 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 058523 | MI | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
ME100296 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL-COMMERCIAL NUMBER | MS058523 | 01 |
| Street Address |
101 EYSTER BLVD |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659565158 | Karine Romain | Nurse Practitioner | 101 Eyster Blvd, Rockledge, FL 32955-3608 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016844 | Mariana Bubucea Md.,p.a. | Obstetrics & Gynecology | 2500 E Hallandale Beach Blvd Ste 401, Hallandale Beach, FL 33009-4835 | 2018-06-07 |
| 1720474091 | Womens Pelvic Health & Incontinence Solutions Inc | Obstetrics & Gynecology | 8451 Nw 78th Ct, Tamarac, FL 33321-1617 | 2015-04-13 |
| 1346406345 | Sarah M. St. Louis | Obstetrics & Gynecology | 70 W Gore St Ste 201, Orlando, FL 32806 | 2008-07-30 |
| 1386823243 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1501 Yamato Road, Suite 200 West, Boca Raton, FL 33431 | 2007-10-29 |
| 1487843520 | Kristie A Greene | Obstetrics & Gynecology | 2 Tampa General Cir Fl Cir6, Tampa, FL 33606-3603 | 2007-10-15 |
| 1134214802 | Christian Quintero | Obstetrics & Gynecology | 450 N Park Rd Ste 202, Hollywood, FL 33021-6987 | 2006-10-04 |
| 1376651091 | Woman To Woman Gyn of Naples | Obstetrics & Gynecology | 3920 Via Del Rey, Suite 1, Bonita Springs, FL 34134-7594 | 2006-08-25 |
| 1174518401 | Lee Brandon Epstein | Obstetrics & Gynecology | 228 3rd Avenue South, Suite 100, Jacksonville Beach, FL 32250 | 2005-09-13 |
| 1982227104 | Bellefull LLC | Obstetrics & Gynecology | 9580 N Us Highway 301, Wildwood, FL 34785-8772 | 2020-05-21 |
| 1184189169 | Bela Urogynecology LLC | Obstetrics & Gynecology | 1178 Cypress Glen Cir Ste 2, Kissimmee, FL 34741-7560 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.