Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clyde Blaylock, FNP-BC

Individual provider Nurse Practitioner · NPI 1154738821

Clyde Blaylock, FNP-BC is a Nurse Practitioner in Melbourne, Florida. Qualified in 2013, 13 years ago. Practices with Urgent Care Centers of Brevard County LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

8725 N Wickham Rd Ste 301
Melbourne, FL 32940-2240
Phone: (321) 434-9200
Fax: (321) 434-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9210359 (FL)

Record details

NPI number1154738821
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESApril 8, 2019
Mailing address3300 S Fiske Blvd, Rockledge, FL 32955-4306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Urgent Care Centers Of Brevard County Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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