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NPI Code Detail

MEDICARE: WAYNE S BLOCKER MD PA

MEDICARE: WAYNE S BLOCKER MD 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
1207V00000XObstetrics & Gynecology PhysicianME 26545FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AI828OTHERFLMEDICARE GROUP NUMBER

General Provider Information

NPI Number : 1487842506
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAYNE S BLOCKER MD PA
Provider Business Mailing Address
First Line : 407 N PARSONS AVE
Second Line : SUITE 101
City : BRANDON
State : FL
Zip : 33510-4537
Country : US
Telephone Number : 813-681-9048
Fax Number : 813-653-0088
Provider Business Practice Location Address
First Line : 407 N PARSONS AVE
Second Line : SUITE 101
City : BRANDON
State : FL
Zip : 33510-4537
Country : US
Telephone Number : 813-681-9048
Fax Number : 813-653-0088
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. WAYNE S BLOCKER
Credential : MD
Telephone Number : 813-681-9048
Provider Enumeration Date : 10/15/2007
Last Update Date : 05/14/2008

Similar Medicare Providers

1649274127 — DR. WAYNE S. BLOCKER M.D.
Practice Location Address:
407 N PARSONS AVE , STE 101
BRANDON, FL
33510-4537
Practice Phone: 813-681-9048
Practice Fax: 813-653-0088
1629162615 — DR. BORIS KAWLICHE M.D.
Practice Location Address:
407 N PARSONS AVE STE 104
BRANDON, FL
33510-4537
Practice Phone: 813-681-5880
Practice Fax: 813-681-5958
1992996557 — KINGSWAY MEDICAL CENTER INC
Practice Location Address:
407 N PARSONS AVE , SUITE 102A
BRANDON, FL
33510-4537
Practice Phone: 813-655-5807
Practice Fax: 813-655-9817
1164695177 — MS. GLENDA GAY VICK LMHC
Practice Location Address:
407 N PARSONS AVE , 104A
BRANDON, FL
33510-4537
Practice Phone: 813-571-1684
Practice Fax: 813-657-5638
1801336177 — JEAN ARROYO APRN, FNP, PMHNP
Practice Location Address:
407 N PARSONS AVE STE 104
BRANDON, FL
33510-4537
Practice Phone: 813-662-4607
Practice Fax:
1730600495 — BRANDON TMS & PSYCHIATRY
Practice Location Address:
407 N PARSONS AVE STE 104
BRANDON, FL
33510-4537
Practice Phone: 813-681-5880
Practice Fax: 813-681-5958

Directions to “WAYNE S BLOCKER MD PA ” Practice Location

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