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David Justin Blalock, ARNP
Family Nurse Practitioner in Wauchula, Florida
NPI 1922076124

David Justin Blalock is a Family Nurse Practitioner based in Wauchula, FL and is specialized in Family. David Justin Blalock practices in Wauchula, FL and has the professional credentials of ARNP. The NPI Number for David Justin Blalock is 1922076124 and holds a License No. ARNP2833192 (Florida).

The current practice location address for David Justin Blalock is 515 Carlton St, Wauchula, FL and can be reached out via phone at 863-773-6606.

Location: 515 Carlton St, Wauchula, FL, 33873-3407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922076124
Provider Name
David Justin Blalock
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
515 Carlton St, Wauchula, FL, 33873-3407
Phone Number
863-773-6606
Fax Number
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306580400 05 FL
institution
Provider Business Practice Location Address Details
Address
515 Carlton St
City
Wauchula
State
Florida
Zip
33873-3407
Phone Number
863-773-6606
Fax Number
person
Provider Business Mailing Address Details
Address
515 Carlton St
City
Wauchula
State
Florida
Zip
33873-3407
Phone Number
863-773-6606
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP2833192 (Florida)
Definition
Definition to come...
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