Organization
MARJA J SPROCK MD, PLLC
Active
Other names
Central Florida UroGynecology
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN KATTENBERG (OFFICE MANAGER)
(321) 338-2726
Entity
Organization
Contact information
Practice address
101 EYSTER BLVD, ROCKLEDGE, FL 32955-3608
(321) 806-3929
(321) 809-3923
Mailing address
101 EYSTER BLVD, ROCKLEDGE, FL 32955-3608
(321) 806-3929
(321) 806-3928
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
G10000003345
FL
Other
Enumeration date
02/06/2010
Last updated
06/03/2024
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