Mitzi C Brock (NPI# 1417956970, PAC ID# 7416905773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1417956970 |
| PAC ID by PECOS | 7416905773 |
| Professional Enrollment ID | I20050104000613 |
| Full Name | Mitzi C Brock |
| Organization Legal Name | FLORIDA WOMAN CARE LLC |
| Address |
11945 San Jose Blvd Suite 400 Jacksonville FL 32223-1627 |
| Phone Number | 9042625333 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5395807218 |
| Number of Group Practice Members | 407 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 | 9042625333 | FLORIDA WOMAN CARE LLC |
| 13241 Bartram Park Blvd, Unit 1309, Jacksonville, FL 32258-5229 | 9042886910 | FLORIDA WOMAN CARE LLC |
| Organization Legal Name | FLORIDA WOMAN CARE LLC |
| Physicians | 452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Zielinski | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 1265 Viscaya Pkwy, Cape Coral, FL 33990-3237 |
| Kimberly Ann Morphet | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 3217 Capital Medical Blvd, Tallahassee, FL 32308-4413 |
| Casi Dawn Norman | Nurse Practitioner | Florida Woman Care LLC | 724 Nw 43rd St, Gainesville, FL 32607-6110 |
| Brooke E Cox | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 2595 Tampa Rd G, Palm Harbor, FL 34684-3130 |
| Rosana Salama Bello | Obstetrics/gynecology | Florida Woman Care LLC | 1000 37th Pl, Suite 105, Vero Beach, FL 32960-6579 |
| Allison M Amore | Obstetrics/gynecology | Florida Woman Care LLC | 531 N Maitland Ave, Maitland, FL 32751-4421 |
| Vitaly Borodin | Pathology | Florida Woman Care LLC | 5481 W Waters Ave, Suite 111, Tampa, FL 33634-1205 |
| Margarita P Olivares Castro | Obstetrics/gynecology | Florida Woman Care LLC | 13 Neptune Rd, Kissimmee, FL 34744-5272 |
| Susanne V Osborne | Obstetrics/gynecology | Florida Woman Care LLC | 1160 Cypress Glen Cir, Kissimmee, FL 34741-7560 |
| Allison C Calhoun | Obstetrics/gynecology | Florida Woman Care LLC | 525 Brent Ln, Pensacola, FL 32503-2003 |
| Street Address |
11945 SAN JOSE BLVD SUITE 400 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32223-1627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkita L Wilkes | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Todd J Rasner | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Sirlys Arcon Rios | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| James W Watts | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Natasha Guerra Farrow | Nurse Practitioner | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Lananh Ly | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Brett D O'connor | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Steve M Pullen | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Melissa A Morgan | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Kenneth M Sekine | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cammy Danell Campbell | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Yvonne Derickson | Nurse Practitioner | Florida Pain Relief Group Pllc | 11705 San Jose Blvd, Suite 110, Jacksonville, FL 32223-1653 |
| Ashley Lee | Nurse Practitioner | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
| Kathleen Joan Sawaya | Qualified Audiologist | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
| Jason D Meier | Otolaryngology | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
| Michael J Lupi | Pain Management | Florida Pain Relief Group Pllc | 11705 San Jose Blvd, Suite 110, Jacksonville, FL 32223-1653 |
| Saswata Roy | Otolaryngology | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
| Mary J Schuh | Qualified Audiologist | North Florida Surgeons Pa | 11705 San Jose Blvd, Suite 103, Jacksonville, FL 32223-1653 |
| Jacob J Hutzell | Chiropractic | 11808 San Jose Blvd, Suite 2, Jacksonville, FL 32223-1862 | |
| Andrew J Ruffett | Clinical Psychologist | 11869 Curlew Way, Jacksonville, FL 32223-1939 | |
| Find all physicians in zip 32223 | |||
| City | JACKSONVILLE |
| Zip Code | 32223 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JACKSONVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Mitzi C Brock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.