Blake, Brett Patrick

Blake, Brett Patrick is an individual health care provider with primary practice located at 4002 Sun City Center Blvd Unit 102, Sun City Center FL 33573-5256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blake, Brett Patrick can be contacted via phone (813) 634-1455.

Contact Information

Primary practice address
4002 Sun City Center Blvd Unit 102 Sun City Center FL 33573-5256
Phone: (813) 634-1455
Fax: (813) 642-8355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME125767 Florida

Profile Details

NPI number 1376772707
LBN Legal business name Blake, Brett Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Jan 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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