Individual
DIANE BLOCH-KELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
120 NW 28TH ST, GAINESVILLE, FL 32607-2511
(352) 246-5384
(352) 376-0126
Mailing address
3746 NW 61ST PL, GAINESVILLE, FL 32653-0832
(352) 214-8310
(352) 376-0126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885505600
—
FL
Enumeration date
03/09/2007
Last updated
07/09/2007
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