# DR. WAYNE S. BLOCKER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649274127
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME 26545 | FL | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 05/14/2008

## 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 |