Individual
BRADLEY M BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2441 WEST STATE ROAD 426, SUITE 2011, OVIEDO, FL 32765-4515
(407) 678-6888
(407) 678-0252
Mailing address
2441 WEST STATE ROAD 426, SUITE 2011, OVIEDO, FL 32765-4515
(407) 678-6888
(407) 678-0252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME-0061495
FL
Other
Enumeration date
11/22/2005
Last updated
01/31/2008
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