Sprock, Marja J

Sprock, Marja J is an sole proprietor health care provider with primary practice located at 101 Eyster Blvd , Rockledge FL 32955-3608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Sprock, Marja J can be contacted via phone (321) 806-3929.

Contact Information

Primary practice address
101 Eyster Blvd Rockledge FL 32955-3608
Phone: (321) 806-3929
Fax: (321) 806-3928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 058523 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME100296 Florida
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME100296 Florida

Profile Details

NPI number 1336216704
LBN Legal business name Sprock, Marja J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jun 3rd, 2024 - about last year

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 1336216704 NPPES
Florida MEDICAID 116624300
Florida Other MS058523

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