Individual
DOUGLAS JAMES BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9400 UNIVERSITY PKWY STE 101B, PENSACOLA, FL 32514-5485
(448) 227-7030
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112493
FL
363AS0400X
Surgical Physician Assistant
002397
IA
363AS0400X
Surgical Physician Assistant
0869
SD
Other
Enumeration date
10/03/2006
Last updated
03/23/2026
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