Healthcare Provider Details

I. General information

NPI: 1225529571
Provider Name (Legal Business Name): JARED MATTHEW FLOCH DO, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6885 BELFORT OAKS PL STE 110
JACKSONVILLE FL
32216-6281
US

IV. Provider business mailing address

6885 BELFORT OAKS PL STE 110
JACKSONVILLE FL
32216-6281
US

V. Phone/Fax

Practice location:
  • Phone: 904-652-0373
  • Fax: 904-652-0378
Mailing address:
  • Phone: 904-652-0373
  • Fax: 904-652-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberOS23370
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: