MATTHEW JEREMY BLAKEMORE


Address: 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367
Phone: 2393449786

MATTHEW JEREMY BLAKEMORE (NPI# 1134653827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134653827
Entity Type Individual
Full Name MATTHEW JEREMY BLAKEMORE
Credential P.A.
Practice Address 6150 Diamond Centre Ct Ste 1300
Fort Myers
FL 33912-4367
Practice Telephone 2393449786
Practice Fax Number 2393449215
Mailing Telephone 2393449786
Mailing Fax Number 2393449215
Enumeration Date 2017-04-19
Last Update Date 2019-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9110051 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6150 DIAMOND CENTRE CT STE 1300
City FORT MYERS
State FL
Zip Code 33912-4367

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1972080828 Solaris Rehab, LLC Clinic/Center 14001 Metro Parkway, Fort Myers, FL 33912 2018-07-24
1467943803 Marie Veronica Scott Nurse Practitioner 14015 Danpak Loop, Fort Myers, FL 33912 2018-05-22
1952892291 Daniels Modern Dentistry, Pa Dentist 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 2018-05-22
1295258994 Julie Ann Jakobi Counselor 18 Quanery Court, Fort Myers, FL 33912 2017-07-25
1205359908 Maria Reyes Developmental Therapist 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 2017-07-25
1669919288 Darinka Ruiz Social Worker 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 2017-01-20
1730622598 Valerie Starnes Nurse Practitioner 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 2016-11-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629679360 Samantha Lee Zavada Physician Assistant 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 2020-11-07
1811597198 Alexis Thraen Physician Assistant 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 2020-10-27
1265065247 Marathon Health LLC Physician Assistant 1660 Electric Ln, Fort Myers, FL 33917-3946 2020-02-18
1710510813 Noshaba Khaliq Physician Assistant 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138 2020-02-17
1699307389 Colleen Mcgonagle Physician Assistant 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 2020-02-10
1922643238 Abigail Christine Reed Physician Assistant 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 2019-11-11
1245899756 Aileen Fiallo Physician Assistant 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 2019-06-08
1316422199 Angelia Lynette Sakyi-agyekum Physician Assistant 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 2018-09-27
1225547029 Irene Julian Physician Assistant 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 2017-09-25
1598206633 Stina Rosanna Mckenna Physician Assistant 8381 Riverwalk Park Blvd Ste 201, Fort Myers, FL 33919-8760 2017-03-08
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Competitor

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City FORT MYERS
Zip Code 33912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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