Provider Demographics
NPI:1750398608
Name:BLOCK, JANE L (ARNP)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:L
Last Name:BLOCK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:10065 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6389
Mailing Address - Country:US
Mailing Address - Phone:352-596-4660
Mailing Address - Fax:352-596-4674
Practice Address - Street 1:10081 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6378
Practice Address - Country:US
Practice Address - Phone:352-596-4660
Practice Address - Fax:352-596-4674
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 3147382363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health