MEDICARE: DR. WAYNE S. BLOCKER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME 26545	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09025Z	OTHER	FL	MEDICARE LEGACY NUMBER
4	160002545	OTHER	FL	RAILROAD MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10D0861661	OTHER	FL	CLIA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4198947	OTHER	FL	AETNA PROVIDER #
6	592413232	OTHER	FL	COMMERCIAL ID#
7	09025	OTHER	FL	BCBS ID#
8	103483	OTHER	FL	AVMED ID#
9	592413232	OTHER	FL	TRICARE ID#
10	01456	OTHER	FL	WELLCARE ID#

General Provider Information

NPI Number	:	1649274127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE S. BLOCKER M.D.

Provider Business Mailing Address
First Line	:	407 N PARSONS AVE
Second Line	:	STE 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	:	STE 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	05/14/2008

Similar Medicare Providers

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

1487842506 — WAYNE S BLOCKER MD PA
Practice Location Address:

407 N PARSONS AVE , SUITE 101
BRANDON, FL
33510-4537

Practice Phone: 813-681-9048
Practice Fax: 813-653-0088

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 “ DR. WAYNE S. BLOCKER M.D.” 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.