Organization
PHYSICIAN ENTERPRISES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C BROCK MD (MANAGING MEMBER)
(813) 839-6299
Entity
Organization
Contact information
Practice address
3007 W FAIR OAKS AVE, TAMPA, FL 33611-1640
(813) 839-6299
(813) 839-4939
Mailing address
3007 W FAIR OAKS AVE, TAMPA, FL 33611-1640
(813) 839-6299
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME41814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME41814
MEDICAL LICENSE
—
Enumeration date
06/27/2011
Last updated
06/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us