Brock, Charles

Brock, Charles is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Brock, Charles can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
13330 Usf Laurel Dr Tampa FL 33612-6601
Phone: (813) 974-2201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME69227 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME069227 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME069227 Florida

Profile Details

NPI number 1871516021
LBN Legal business name Brock, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871516021 NPPES
Florida Other 43672 BLUE CROSS BLUE SHIELD
Florida MEDICAID 254486500 BLUE CROSS BLUE SHIELD

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