MEDICARE: MICHAEL L MIDDLEBROOKS DMD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN 7934	FL

General Provider Information

NPI Number	:	1760781199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL L MIDDLEBROOKS DMD PA

Provider Business Mailing Address
First Line	:	4232 BAYMEADOWS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-4604
Country	:	US
Telephone Number	:	904-739-0690
Fax Number	:	904-737-1045

Provider Business Practice Location Address
First Line	:	4232 BAYMEADOWS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-4604
Country	:	US
Telephone Number	:	904-739-0690
Fax Number	:	904-737-1045

Authorized Official
Title or Position	:	ORAL AND MAXILLOFACIAL SURGEON
Name	:	DR. MICHAEL L MIDDLEBROOKS
Credential	:	DMD
Telephone Number	:	904-737-0690

Provider Enumeration Date	:	03/24/2011
Last Update Date	:	03/24/2011

Similar Medicare Providers

1700879442 — DR. MICHAEL LOUIS MIDDLEBROOKS D.M.D.
Practice Location Address:

4232 BAYMEADOWS RD
JACKSONVILLE, FL
32217-4604

Practice Phone: 904-739-0690
Practice Fax: 904-737-1045

1003026329 — DR. RISHI NORMAN RAZDAN MD
Practice Location Address:

2416 DUNN AVE
JACKSONVILLE, FL
32218-4604

Practice Phone: 904-353-3664
Practice Fax: 904-353-3858

1669771168 — AMERICAN ACCESS CARE OF JACKSONVILLE LLC
Practice Location Address:

2416 DUNN AVE
JACKSONVILLE, FL
32218-4604

Practice Phone: 904-353-3664
Practice Fax: 904-353-3858

1578094462 — AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC
Practice Location Address:

2416 DUNN AVE
JACKSONVILLE, FL
32218-4604

Practice Phone: 904-353-3664
Practice Fax:

1306497672 — TAMARA BELCHER-BOSTICK
Practice Location Address:

2020 ALMIRA ST
JACKSONVILLE, FL
32211-4604

Practice Phone: 904-888-0984
Practice Fax:

1780540146 — TIERAINIE C JOHNSON MS, MCAP
Practice Location Address:

6028 CHESTER AVE STE 207
JACKSONVILLE, FL
32217-2285

Practice Phone: 904-944-1269
Practice Fax: 904-659-8255

Directions to “MICHAEL L MIDDLEBROOKS DMD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.