Blake, Thomas B

Blake, Thomas B is an individual health care provider with primary practice located at 331 N Maitland Ave Suite A-2, Maitland FL 32751-4762. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blake, Thomas B can be contacted via phone (407) 629-5141.

Contact Information

Primary practice address
331 N Maitland Ave Suite A-2 Maitland FL 32751-4762
Phone: (407) 629-5141
Fax: (407) 629-5858
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME65263 Florida
Other Service Providers / Specialist 174400000X 033032 Georgia

Profile Details

NPI number 1508873787
LBN Legal business name Blake, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 3rd, 2011 - about 13 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.

Request for update

Popular Providers