Individual
SUSAN KAY BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
320 RACETRACK RD NW STE 100A, FORT WALTON BEACH, FL 32547-1796
(850) 315-8360
Mailing address
320 RACETRACK RD NW STE 100A, FORT WALTON BEACH, FL 32547-1796
(850) 315-8360
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
102510
CO
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9245884
FL
Other
Enumeration date
03/24/2006
Last updated
10/14/2020
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