David Justin Blalock, ARNP
Nurse Practitioner, Family in Wauchula, FL. Individual provider (NPI-1).
NPI number1922076124
StatusActive
Last updated in NPPESAug 26, 2013
Details
- NPI
- 1922076124
- Entity type
- Individual (NPI-1)
- Name
- David Justin Blalock
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2006
- Last updated
- Aug 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP2833192 | FL | Yes |
Practice location
515 Carlton StWauchula, FL 33873-3407
Phone 863-773-6606
Mailing address
515 Carlton StWauchula, FL 33873-3407
Phone 863-773-6606
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All 7 Family Nurse Practitioner providers in Wauchula · All 221 providers in Wauchula
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