Provider Demographics
NPI:1962495440
Name:BLOCK, FAITH EILEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:EILEEN
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9640 W BROADVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1928
Mailing Address - Country:US
Mailing Address - Phone:305-461-1700
Mailing Address - Fax:
Practice Address - Street 1:495 BILTMORE WAY
Practice Address - Street 2:FL 1
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5756
Practice Address - Country:US
Practice Address - Phone:305-461-1700
Practice Address - Fax:305-461-1716
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME30526207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95359Medicare ID - Type Unspecified
D63430Medicare UPIN