Blake, Sarah Louise

Blake, Sarah Louise is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Blake, Sarah Louise can be contacted via phone (352) 273-8610.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME161867 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 241972 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 241972 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME161867 Florida

Profile Details

NPI number 1619003092
LBN Legal business name Blake, Sarah Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1619003092 NPPES
Florida MEDICAID 118792900
Florida MEDICAID 1100850080A

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