Robert F Blake in Wellington - Surgical

Robert F Blake - NPI 1780772749

Robert F Blake is a Surgical in Wellington, Florida. Robert F Blake practices all healthcare services and medical treatments related to Surgical. The NPI Number for Robert F Blake is 1780772749. The last update date is 2012-02-22.

Robert F Blake's current location address is 1447 Medical Park Blvd, Wellington, Florida. You can contact this provider via phone number 5618440120 and fax number 5618001074. The mailing address for Robert F Blake is 1447 Medical Park Blvd, Wellington, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert F Blake
Address 1447 Medical Park Blvd, Wellington, Florida
Phone Number 5618440120
Fax Number 5618001074
Sole Proprietor Y
Credentials MMS, PA-C

NPI Number Detail

NPI Number 1780772749
Provider Enumeration Date 2006-10-11
Last Updated Date 2012-02-22

Provider Mailing Address Detail

Address 1447 Medical Park Blvd
City Wellington
State Florida (FL)
Post Code 334143164
Phone Number 5618440120
Fax Number 5618001074

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA9103551
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Robert F Blake

What is the unique identification code assigned to Robert F Blake by the Centers for Medicare & Medicaid Services?

The Robert F Blake has been issued the NPI (National Provider Identifier) 1780772749. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Robert F Blake is physically located?

The Robert F Blake is physically situated at the following address: 1447 Medical Park Blvd, Wellington, FL, 334143164.

What is Robert F Blake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Robert F Blake is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780772749 to Robert F Blake?

The Robert F Blake received its 1780772749 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.

As of what date were the details related to Robert F Blake most recently updated or revised?

The information pertaining to Robert F Blake, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-22.

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