Flock, Jens Baggesen

Flock, Jens Baggesen is an sole proprietor health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Flock, Jens Baggesen can be contacted via phone (386) 425-4000.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 425-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME146639 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 201153 North Carolina

Profile Details

NPI number 1457779803
LBN Legal business name Flock, Jens Baggesen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Oct 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457779803 NPPES
North Carolina MEDICAID 201153

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