Dion Ericson Blake in Pembroke Pines - Independent Duty Corpsman
Dion Ericson Blake - NPI 1922076827
Dion Ericson Blake is a Independent Duty Corpsman in Pembroke Pines, Florida. Dion Ericson Blake practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Dion Ericson Blake is 1922076827. The last update date is 2008-03-07.
Dion Ericson Blake's current location address is 1035 Nw 155th Ter, Pembroke Pines, Florida. You can contact this provider via phone number 9548048731. The mailing address for Dion Ericson Blake is 1035 Nw 155th Ter, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dion Ericson Blake |
|---|---|
| Address | 1035 Nw 155th Ter, Pembroke Pines, Florida |
| Phone Number | 9548048731 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1922076827 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 1035 Nw 155th Ter |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330281514 |
| Phone Number | 9548048731 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique identifier code issued to Dion Ericson Blake by the Centers for Medicare & Medicaid Services?
The Dion Ericson Blake has been assigned the NPI (National Provider Identifier) 1922076827. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dion Ericson Blake?
The Dion Ericson Blake is physically situated at 1035 Nw 155Th Ter, in the city of Pembroke Pines, state of FL, with the postal code 330281514.
What is the Dion Ericson Blake's area of specialization and corresponding taxonomy classification?
The Dion Ericson Blake's specialty field is Independent Duty Corpsman, and it falls under the taxonomy code 1710I1002X, which categorizes healthcare providers based on their specialties.
On what date did Dion Ericson Blake receive its 1922076827 assignment from the Centers for Medicare & Medicaid Services?
The Dion Ericson Blake was assigned its 1922076827 on 2006-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dion Ericson Blake last refreshed?
The information related to the Dion Ericson Blake, including its address, specialty, and other relevant details, was last updated on 2008-03-07.