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

TULLY T. BLALOCK JR., MD

Active

TULLY T. BLALOCK JR., MD is a Internal Medicine healthcare provider located in ROCKLEDGE, Florida. NPI 1417004359 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · ROCKLEDGE, FL

Registration Details

NPI Number
1417004359
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2007 (19.623683777958 yrs)
Last Updated
Sep 12, 2011
License
ME26001 (FL)

Practice Information

Address
220 BARTON BLVD
UNIT C14
ROCKLEDGE, FL, 329552742
Browse FL providers · Browse ZIP 32955
Phone
3216395177
Fax
3216394927
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in ROCKLEDGE, FL

Name Credential NPI
DR. JOHN NOLAN SWEENEY D.O. 1992702054
VINAY K KUMAR MD 1184616849
DR. THOMAS BAO NGUYEN MD 1174516892
DR. NABIL AZIZ M.D. 1780675405
DR. RALPH PATRICK PAGE M.D. 1770569527
CARL DOMINIC SALADINO MD 1396725362
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.