Brock and Harrison Services, LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 5212877 Issued in FL

Legal business name

BROCK AND HARRISON SERVICES, LLC

Practice address

3344 23Rd St N
St Petersburg, FL 33713-2708

Phone

(727) 612-8031

Fax

(727) 914-8107

NPI assigned

Dec 12, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jackie Lee Brock

Title

President

Phone

(727) 612-8031

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1487052148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 23RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337132708",
            "telephone_number": "727-612-8031",
            "fax_number": "727-914-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 23RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337132708",
            "telephone_number": "727-612-8031",
            "fax_number": "727-914-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK AND HARRISON SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-612-8031"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN 5212877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851791917",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yudianela Caridad Brito Garcia
• Camilla P Brito, PA-C
• Shawn Britt, LCSW
• Beverly Broadnax
• Broadwater Hearing Care Inc
• Jeanine Brock, COTA/L
• John C Brock, MD
• Molly M Brock
• Andrea R Brockman, N.C.C., L.M.H.C.
• David Brockway, PSY.D

• Licensed Practical Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.