Tully T. Blalock in Melbourne - Internal Medicine
Tully T. Blalock - NPI 1417004359
Tully T. Blalock is a Internal Medicine in Melbourne, Florida. Tully T. Blalock practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tully T. Blalock is 1417004359. The last update date is 2011-09-12.
Tully T. Blalock's current location address is Po Box 1137, Melbourne, Florida. You can contact this provider via phone number 3219529696 and fax number 3219527937. The mailing address for Tully T. Blalock is Po Box 1137, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tully T. Blalock |
|---|---|
| Address | Po Box 1137, Melbourne, Florida |
| Phone Number | 3219529696 |
| Fax Number | 3219527937 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417004359 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2011-09-12 |
Provider Mailing Address Detail
| Address | Po Box 1137 |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329021137 |
| Phone Number | 3219529696 |
| Fax Number | 3219527937 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME26001 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2048700 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tully T. Blalock by the Centers for Medicare & Medicaid Services (CMS)?
The Tully T. Blalock has been assigned the NPI (National Provider Identifier) 1417004359. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Tully T. Blalock located?
The Tully T. Blalock is located at Po Box 1137, Melbourne, FL 329021137.
What is Tully T. Blalock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tully T. Blalock is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When did Tully T. Blalock receive its 1417004359 assignment?
The Tully T. Blalock was assigned its 1417004359 on 2007-01-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Tully T. Blalock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tully T. Blalock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-12.