Individual provider · NPI-1
Mark I Block, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Hollywood, FL
NPI number1720071228
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1720071228
- Entity type
- Individual (NPI-1)
- Name
- Mark I Block
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2005
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME91707 | FL | Yes |
Practice location
1150 N 35th Ave Ste 660Hollywood, FL 33021-5471
Phone 954-265-1125 · Fax 954-985-5578
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-276-5685 · Fax 954-985-7074
Other practice locations
601 N Flamingo Rd Ste 316
Pembroke Pines, FL 33028-1015
Pembroke Pines, FL 33028-1015
Phone 954-844-2320 · Fax 954-844-2323
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