Blake, Jay B.B.

Blake, Jay B.B. is an individual health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Blake, Jay B.B. can be contacted via phone (305) 585-7195.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Phone: (305) 585-7195
Fax: (305) 585-0088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PS31499 Florida

Profile Details

NPI number 1376540971
LBN Legal business name Blake, Jay B.B.
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Jul 8th, 2007 - about 17 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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