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Individual
DR. WAYNE S. BLOCKER
Active
Individual
DR. WAYNE S. BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 26545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01456
WELLCARE ID#
FL
05
—
0599810800
—
FL
01
—
09025
BCBS ID#
FL
01
—
09025Z
MEDICARE LEGACY NUMBER
FL
01
—
103483
AVMED ID#
FL
01
—
10D0861661
CLIA
FL
01
—
160002545
RAILROAD MEDICARE #
FL
01
—
4198947
AETNA PROVIDER #
FL
01
—
592413232
TRICARE ID#
FL
Enumeration date
06/13/2005
Last updated
05/14/2008
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