Individual
DR. WAYNE S. BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 N PARSONS AVE, STE 101, BRANDON, FL 33510-4537
(813) 681-9048
(813) 653-0088
Mailing address
407 N PARSONS AVE, STE 101, BRANDON, FL 33510-4537
(813) 681-9048
(813) 653-0088
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 26545
FL
Other
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
COMMERCIAL ID#
FL
Enumeration date
06/13/2005
Last updated
05/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us