Organization
MICHAEL L MIDDLEBROOKS DMD PA
Active
Organization
MICHAEL L MIDDLEBROOKS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L MIDDLEBROOKS DMD (ORAL AND MAXILLOFACIAL SURGEON)
(904) 737-0690
Entity
Organization
Contact information
Practice address
4232 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4604
(904) 739-0690
(904) 737-1045
Mailing address
4232 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4604
(904) 739-0690
(904) 737-1045
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 7934
FL
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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