# MARK I BLOCK M D P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730119991
- **Authorized official:** DR. MARK I. BLOCK M.D. (PRESIDENT)
- **Authorized official phone:** (954) 983-7113

## Contact information

- **Practice address:** 1150 N 35TH AVE, SUITE 660, HOLLYWOOD, FL 33021-5424
- **Practice address phone:** (954) 983-7113
- **Practice address fax:** (954) 983-7838
- **Mailing address:** 1150 N 35TH AVE, SUITE 660, HOLLYWOOD, FL 33021-5424
- **Mailing address phone:** (954) 983-7113
- **Mailing address fax:** (954) 983-7838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME91707 | FL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 03/23/2009
