Heather Dawn Brock
Heather Dawn Brock is a Nurse Practitioner in Eglin, Florida. Qualified in 2021, 5 years ago. Practices with Santa Rosa Hma Physician Management, LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.
- Years since qualifying
- 5
- Licensed in
- AL, FL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
307 Boatner Rd Ste 114Eglin, FL 32542-1302
Phone: (850) 883-9042
Fax: (850) 883-9702
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4264 Avalon Blvd, Milton, FL 32583-2808 — (850) 981-4000
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11015727 (FL) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 1-182636 (AL) |
Record details
| NPI number | 1003574500 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2021 |
| Last updated in NPPES | May 20, 2025 |
| Certification date | May 20, 2025 |
| Mailing address | 307 Boatner Rd Ste 114, Eglin, FL 32542-1302 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Santa Rosa Hma Physician Management, Llc — 52 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Eglin
-
Carolyn Ann Space, CNP
96 Mdg 307 Boatner Rd, Eglin, FL 32542 · (850) 883-9957