Patricia Blake in Palm Bay - General Practice

Patricia Blake - NPI 1568473312

Patricia Blake is a General Practice in Palm Bay, Florida. Patricia Blake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Patricia Blake is 1568473312. The last update date is 2007-07-08.

Patricia Blake's current location address is 1421 Malabar Rd Ne, Palm Bay, Florida. You can contact this provider via phone number 3217228440. The mailing address for Patricia Blake is 1421 Malabar Rd Ne, Palm Bay, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Blake
Address 1421 Malabar Rd Ne, Palm Bay, Florida
Phone Number 3217228440
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1568473312
Provider Enumeration Date 2006-08-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1421 Malabar Rd Ne
City Palm Bay
State Florida (FL)
Post Code 329072576
Phone Number 3217228440
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN15937
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Patricia Blake

What is the unique provider identifier assigned to Patricia Blake?

The Patricia Blake has been issued the NPI (National Provider Identifier) 1568473312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Patricia Blake is located?

The Patricia Blake is situated at the following address: 1421 Malabar Rd Ne, Palm Bay, FL, 329072576.

What is Patricia Blake's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patricia Blake's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Patricia Blake receive the assignment of its 1568473312 from the Centers for Medicare & Medicaid Services?

The Patricia Blake was issued its 1568473312 by the Centers for Medicare & Medicaid Services on 2006-08-10.

When was the information regarding Patricia Blake most recently updated?

The details pertaining to the Patricia Blake, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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