Individual
MR. ROBERT THOMAS BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R,D., CDE
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
4814 POND RIDGE DR, RIVERVIEW, FL 33569-2100
(813) 621-4866
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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