Crosby, Blake Alexander

Crosby, Blake Alexander is an individual health care provider with primary practice located at 320 Avenue K Se Ste 1 , Winter Haven FL 33880-4148. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Crosby, Blake Alexander can be contacted via phone (863) 293-5099.

Contact Information

Primary practice address
320 Avenue K Se Ste 1 Winter Haven FL 33880-4148
Phone: (863) 293-5099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN26120 Florida

Profile Details

NPI number 1316539299
LBN Legal business name Crosby, Blake Alexander
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2021
Last updated Jul 16th, 2024 - 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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