DR. MICHAEL LOUIS MIDDLEBROOKS (NPI# 1700879442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700879442 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LOUIS MIDDLEBROOKS |
| Credential | D.M.D. |
| Practice Address |
4232 Baymeadows Rd Jacksonville FL 32217-4604 |
| Practice Telephone | 9047390690 |
| Practice Fax Number | 9047371045 |
| Mailing Telephone | 9047390690 |
| Mailing Fax Number | 9047371045 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN 7934 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558627448 | Michael Middlebrooks | Physical Therapist | 1111 Raintree Cir, #150, Allen, TX 75013-4901 | 2012-04-05 |
| Street Address |
4232 BAYMEADOWS RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760781199 | Michael L Middlebrooks Dmd Pa | Dentist | 4232 Baymeadows Rd, Jacksonville, FL 32217-4604 | 2011-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154760411 | Tyler J Holley | Dentist | University of Florida- Jacksonville, 653-1 West 8th Street, Jacksonville, FL 32209 | 2013-06-20 |
| 1851602734 | Carlo Enrico Guevara | Dentist | 4540 Southside Blvd Ste 1001, Jacksonville, FL 32216-5495 | 2010-06-25 |
| 1306073754 | Bouali Frederick Amoli | Dentist | 5149 Normandy Blvd Unit 4, Jacksonville, FL 32205-4861 | 2009-06-12 |
| 1154555035 | Salam Omar Salman | Dentist | 653 W. 8th Street, Uf - Jacksonville Dept. of Oral & Maxillofacial Surgery, Jacksonville, FL 32209 | 2009-05-07 |
| 1316151301 | Scott Roberts Sklenicka | Dentist | 2511 Saint Johns Bluff Rd S, Suite 207, Jacksonville, FL 32246-2346 | 2007-05-09 |
| 1851417406 | North Florida Oral & Facial Surgery, P.a. | Dentist | 11481 Old Saint Augustine Rd Ste 203, Jacksonville, FL 32258-1475 | 2007-03-22 |
| 1992832059 | Vanni Russ Strenta | Dentist | 3914 Blanding Blvd, Jacksonville, FL 32210-5413 | 2007-02-27 |
| 1184760480 | Gregory Joseph Groshan | Dentist | 3007 Hartley Rd, Jacksonville, FL 32257-6201 | 2007-01-30 |
| 1477606267 | Gregory W Hartley | Dentist | 4181 Southpoint Dr E, Suite 200, Jacksonville, FL 32216-0993 | 2007-01-18 |
| 1366591265 | Pairot Tayapongsak | Dentist | 7101 Normandy Blvd, Jacksonville, FL 32205-6211 | 2007-01-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on DR. MICHAEL LOUIS MIDDLEBROOKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.