Blankenship, Brock

Blankenship, Brock is an individual health care provider with primary practice located at 1301 Riverplace Blvd Ste 2540 , Jacksonville FL 32207-9032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Blankenship, Brock can be contacted via phone (352) 284-4805.

Contact Information

Primary practice address
1301 Riverplace Blvd Ste 2540 Jacksonville FL 32207-9032
Phone: (352) 284-4805
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA395 Florida

Profile Details

NPI number 1154679744
LBN Legal business name Blankenship, Brock
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Sep 8th, 2020 - about 5 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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