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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MITZI C BROCK, MD

Active

DR. MITZI C BROCK, MD is a Gynecology healthcare provider located in JACKSONVILLE, Florida. NPI 1417956970 is currently active in the NPPES registry. Verify at CMS.

Gynecology · JACKSONVILLE, FL

Registration Details

NPI Number
1417956970
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2005 (21.066474861662 yrs)
Last Updated
Mar 29, 2025
Licenses
ME78839 (FL)
ME78839 (FL)

Practice Information

Address
11945 SAN JOSE BLVD
JACKSONVILLE, FL, 322231613
Browse FL providers · Browse ZIP 32223
Phone
9042625333
Fax
9042625337
Primary Specialty
Gynecology
207VG0400X
Additional Specialty
Gynecology

Other Gynecology Providers in JACKSONVILLE, FL

Name Credential NPI
LORRAINE RODRIGUEZ M.D. 1427054220
DR. KENNETH MICHAEL SEKINE M.D. 1841299625
DR. TODD J RASNER MD 1336148964
WILBUR CANNON SIMPSON M.D. 1295734531
DR. AMY E HEARNE MD 1790778025
FRANK JAMES ANDRES M.D. 1720071475
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.