Blocker, Wayne S.

Blocker, Wayne S. is an sole proprietor health care provider with primary practice located at 407 N Parsons Ave Ste 101, Brandon FL 33510-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Blocker, Wayne S. can be contacted via phone (813) 681-9048.

Contact Information

Primary practice address
407 N Parsons Ave Ste 101 Brandon FL 33510-4537
Fax: (813) 653-0088
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 26545 Florida

Profile Details

NPI number 1649274127
LBN Legal business name Blocker, Wayne S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated May 14th, 2008 - about 16 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 1649274127 NPPES
Florida Other 09025Z MEDICARE LEGACY NUMBER
Florida Other 10D0861661 MEDICARE LEGACY NUMBER
Florida MEDICAID 0599810800 MEDICARE LEGACY NUMBER
Florida Other 160002545 MEDICARE LEGACY NUMBER
Florida Other 4198947 MEDICARE LEGACY NUMBER
Florida Other 592413232 MEDICARE LEGACY NUMBER
Florida Other 09025 MEDICARE LEGACY NUMBER
Florida Other 103483 MEDICARE LEGACY NUMBER
Florida Other 592413232 MEDICARE LEGACY NUMBER
Florida Other 01456 MEDICARE LEGACY NUMBER

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