Individual
PENELOPE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5000
Mailing address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME116506
FL
Other
Enumeration date
12/07/2009
Last updated
11/18/2021
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