Emerson, Blaze D

Emerson, Blaze D is an individual health care provider with primary practice located at 7710 S Us Highway 1 , Port St Lucie FL 34952-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Emerson, Blaze D can be contacted via phone (772) 335-5300.

Contact Information

Primary practice address
7710 S Us Highway 1 Port St Lucie FL 34952-2320
Phone: (772) 335-5300
Fax: (772) 200-2131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X OS19620 Florida

Profile Details

NPI number 1568987014
LBN Legal business name Emerson, Blaze D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2017
Last updated Dec 12th, 2023 - about 2 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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