Block, Douglas James

Block, Douglas James is an individual health care provider with primary practice located at 133 Racetrack Rd Nw , Fort Walton Beach FL 32547-1644. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Block, Douglas James can be contacted via phone (850) 475-3726.

Contact Information

Primary practice address
133 Racetrack Rd Nw Fort Walton Beach FL 32547-1644
Phone: (850) 475-3726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0869 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002397 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112493 Florida

Profile Details

NPI number 1841384435
LBN Legal business name Block, Douglas James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 23rd, 2021 - about 4 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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