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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLYDE BLAYLOCK, FNP-BC

Active

CLYDE BLAYLOCK, FNP-BC is a Nurse Practitioner healthcare provider located in MELBOURNE, Florida. NPI 1154738821 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MELBOURNE, FL

Registration Details

NPI Number
1154738821
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2014 (12.087425176228 yrs)
Last Updated
Apr 8, 2019
License
ARNP9210359 (FL)

Practice Information

Address
8725 N WICKHAM RD STE 301
MELBOURNE, FL, 329402240
Browse FL providers · Browse ZIP 32940
Phone
3214349200
Fax
3214349202
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in MELBOURNE, FL

Name Credential NPI
DR. TANYA N SCHRUMPF DC 1205832565
GINNY BROWNING ARNP 1427043918
MRS. MICHELLE JANE MADAN ARNP 1265415103
MS. MARGARET LOUISE WITZLEB ARNP 1114980364
PATRICIA MARIE HORN TOWERS ARNP 1124082094
DELORI M DULANY ARNP 1285690461
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.