Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitzi C Brock, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1417956970

Dr. Mitzi C Brock, MD is an Obstetrics/Gynecology in Jacksonville, Florida. Graduated from University of Arkansas College of Medicine in 1998, 28 years ago. Practices with Florida Woman Care LLC, a 609-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Trained at
University of Arkansas College of Medicine
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11945 San Jose Blvd
Jacksonville, FL 32223-1613
Phone: (904) 262-5333
Fax: (904) 262-5337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence ME78839 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence ME78839 (FL)

Record details

NPI number1417956970
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025
Mailing address11945 San Jose Blvd, Jacksonville, FL 32223-1627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Florida Woman Care Llc — 609 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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