Individual provider · Type 1 NPI

Mitzi C. Brock, MD

Gynecology Physician · Jacksonville, FL

NPI number 1417956970 Active

Practice location

11945 San Jose Blvd
Jacksonville, FL 32223-1613

Call (904) 262-5333 Map

Fax (904) 262-5337

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XME78839 (FL)
Gynecology Physician Primary 207VG0400XME78839 (FL)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

18 other providers at this address

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About NPI 1417956970

Mitzi C. Brock, MD's National Provider Identifier is 1417956970, issued on Jul 18, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 29, 2025.