# MICHAEL L MIDDLEBROOKS DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760781199
- **Authorized official:** DR. MICHAEL L MIDDLEBROOKS DMD (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (904) 737-0690

## Contact information

- **Practice address:** 4232 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4604
- **Practice address phone:** (904) 739-0690
- **Practice address fax:** (904) 737-1045
- **Mailing address:** 4232 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4604
- **Mailing address phone:** (904) 739-0690
- **Mailing address fax:** (904) 737-1045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN 7934 | FL | Yes |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 03/24/2011