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Search › Florida › 207R00000X

Tully Blalock, MD

NPI 1417004359 · on the registry since 2007

Practice

Address
220 Barton Blvd
Unit C14
Rockledge, FL 32955
Phone
(321) 639-5177
Fax
(321) 639-4927
Organisation at this address
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida