JEFFREY W BLAKE


Address: 1620 Nectarine St, Fernandina Beach, FL 32034-4724
Phone: 9045481860

JEFFREY W BLAKE (NPI# 1164431185) 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) 1164431185
Entity Type Individual
Full Name JEFFREY W BLAKE
Credential MD
Practice Address 1620 Nectarine St
Fernandina Beach
FL 32034-4724
Mailing Address Po Box 517
Fernandina Beach
FL 32035-0517
Practice Telephone 9045481860
Practice Fax Number 9042777283
Mailing Telephone 9045481800
Mailing Fax Number 9042777286
Enumeration Date 2006-08-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
LL478 FL Allopathic & Osteopathic Physicians

Other Providers JEFFREY BLAKE

NPI Name Taxonomy Address Enumeration
1003827239 Jeffrey Blake Social Worker 22 Monument Square, #403, Portland, ME 04101-3914 2006-08-11
1407834781 Jeffrey Lee Blake Physical Therapist 1714 17th St, Santa Monica, CA 90404-4410 2006-01-06
1477545127 Jeffrey M Blake Obstetrics & Gynecology 141 W 22nd St Ste 309, Anderson, IN 46016-4389 2005-08-18
1639616295 Jeffrey Blake Behavior Technician 474 W 200 N, St George, UT 84770-4505 2017-01-20
1093734451 Jeffrey Blake Pediatrics 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2006-07-18
1992792980 Jeffrey D. Blake Obstetrics & Gynecology 250 Green St, Gardner, MA 01440-1396 2005-10-04

Office Location

Street Address 1620 NECTARINE ST
City FERNANDINA BEACH
State FL
Zip Code 32034-4724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316956394 Sherry Sue Linback Nurse Practitioner 1620 Nectarine St, Fernandina Beach, FL 32034-4724 2006-08-07
1841435625 Charles Leigh Christian Internal Medicine 1620 Nectarine St, Fernandina Beach, FL 32034-4724 2008-12-09
1780875948 Karelyn E Lotz Contractor 1620 Nectarine St, Fernandina Beach, FL 32034-4724 2007-08-05
1114142635 James R Gildenston Podiatrist 1620 Nectarine St, Fernandina Beach, FL 32034-4724 2007-04-17
1801934203 William Edward Hansberry Pediatrics 1620 Nectarine St, Fernandina Beach, FL 32034-4724 2007-02-01
1063421063 Kimberly Gayle Geib Nurse Practitioner 1620 Nectarine St, Fernandina Beach, FL 32034-4724 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871059899 Anna Fn Chu Dietitian, Registered Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 2019-02-14
1841784550 Kelly Ann Sayers Social Worker 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 2018-06-15
1609302611 Christian Giovanniello Behavior Technician 1743 Azalea Street, Fernandina Beach, FL 32034 2017-05-11
1770018467 Beckerton Chiropractic Pllc Chiropractor 464073 East State Road 200, Yulee, FL 32034 2017-05-01
1114392438 Jayde Marie Gray Chiropractor 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 2015-12-11
1760858369 Sun Gallery Inc. Eyewear Supplier (Equipment, not the service) 1523 Sadler Road, Fernandina Beach, FL 32034 2015-08-18
1124419718 Angela L Michels Counselor 1890 S. 14th St., #302, Fernandina Beach, FL 32034 2015-02-18
1336542075 Sara Veronica Herreros Physician Assistant 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 2014-10-08
1366789471 Elizabeth Ann Moore Nurse Practitioner 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 2013-01-09
1043564289 Summer Suzanne Delille Dental Hygienist 95054 Oriole St., Fernandina Beach, FL 32034 2012-11-08
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033318928 George Glenn Le-bert Internal Medicine 1340 S 18th St Ste 202, Credentialing Department, Fernandina Beach, FL 32034-4733 2007-07-12
1013274158 John Hartwell Houston Mooney Internal Medicine 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 2012-04-13
1073886065 Baptist Cardiology, Inc. Internal Medicine 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034-4799 2012-02-22
1396013702 Physicians Group Services Internal Medicine 2334 S 8th St, Fernandina Beach, FL 32034-1979 2011-12-13
1629263496 Amelia Institute of Cardiology and Medicine Internal Medicine 2334 S 8th St, Fernandina Beach, FL 32034-1979 2007-09-13
1275636805 Farid Ullah Internal Medicine 1348 S 18th St, Bldg B, Suite 200, Fernandina Beach, FL 32034-4785 2006-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437765443 Premier Cardiovascular Center, LLC Internal Medicine 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 2020-09-16
1679199236 Tallahassee Memorial Healthcare Inc Internal Medicine 877 3rd St Ste 3, Chipley, FL 32428-1855 2020-06-19
1972123701 Heart Clinic of Central Florida LLC Internal Medicine 52 Riley Rd # 429, Celebration, FL 34747-5420 2020-04-22
1205465440 Cardiology Group Panel LLC Internal Medicine 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 2020-04-08
1346876745 H & D Cardiology, Pa Internal Medicine 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 2020-03-17
1427690775 The Cardiac and Vascular Institute Ambulatory Surgery Center Internal Medicine 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 2019-10-08
1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1023660255 Florida Medical Specialists LLC Internal Medicine 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 2019-07-09
1962064493 Ckk Medical LLC Internal Medicine 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 2019-07-04
1952968026 Jose Miguel Simo Internal Medicine 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 2019-05-23
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Competitor

Search similar providers

City FERNANDINA BEACH
Zip Code 32034

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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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