George Blake M.D., P.A.

LBN: George Blake M.D., P.A.
George Blake M.D., P.A. is an health care organization with primary practice located at 605 S Fremont Ave Suite A, Tampa FL 33606-2479. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. George Blake M.D., P.A. can be contacted via phone (813) 251-0209, or through Blake, George B via phone (813) 251-0209.

Contact Information

Primary practice address
605 S Fremont Ave Suite A Tampa FL 33606-2479
Phone: (813) 251-0209
Fax: (813) 258-0600
Website:
Map and Directions
Authorized official contact:
Name: Blake, George B Doctor of Medicine (MD)
Phone: (813) 251-0209

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME66396 Florida

Profile Details

NPI number 1164469151
LBN Legal business name George Blake M.D., P.A.
DBA Doing business as
Authorized official Blake, George B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Jan 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164469151 NPPES
Florida MEDICAID 379713900

Popular Providers