GEORGE BLAKE M.D., P.A.


Address: 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479
Phone: 8132510209

GEORGE BLAKE M.D., P.A. (NPI# 1164469151) 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) 1164469151
Entity Type Organization
Organization Name GEORGE BLAKE M.D., P.A.
Practice Address 605 S Fremont Ave
Suite A
Tampa
FL 33606-2479
Practice Telephone 8132510209
Practice Fax Number 8132580600
Mailing Telephone 8132510209
Mailing Fax Number 8132580600
Enumeration Date 2006-05-31
Last Update Date 2012-01-13
Authorized Official Name DR. GEORGE B BLAKE (PRESIDENT)
Authorized Official Telephone 8132510209
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology ME66396 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 379713900 05

Office Location

Street Address 605 S FREMONT AVE
SUITE A
City TAMPA
State FL
Zip Code 33606-2479

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013162825 William Campbell Blake Counselor 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 2008-11-20
1962449587 George B Blake Otolaryngology 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 2006-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235758749 Seyed Shayan Ahmad Falasiri Student in an Organized Health Care Education/Training Program 17 Davis Blvd. #308, Tampa, FL 33606 2020-04-14
1174156400 Jessica Styles Specialist/Technologist The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 2020-02-14
1295389757 David Green Specialist/Technologist 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 2019-08-01
1417514720 Four Winds Counseling LLC Counselor 611 West Bay Street, Tampa, FL 33606 2019-05-22
1699238014 Azubuogu Charles Anudu Student in an Organized Health Care Education/Training Program 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 2019-04-11
1508327883 D'arcy Jocelyn Arden Wainwright Student in an Organized Health Care Education/Training Program 17 David Blvd., Suite 308, Tampa, FL 33606 2019-03-28
1659851772 Heather Widmer Counselor 202 N Howard Ave, Tampa, FL 33606 2018-08-17
1447737291 Jonathan T Bell Marriage & Family Therapist 425 S. Orleans Ave, Tampa, FL 33606 2018-07-24
1184157539 Alexander Lim Student in an Organized Health Care Education/Training Program 17 David Blvd, Suite 308, Tampa, FL 33606 2017-04-04
1760913057 Melanie Loretta Bradley Student in an Organized Health Care Education/Training Program 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 2017-03-27
Find all providers in zip 33606

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285953679 Matthew J Mifsud Otolaryngology 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 2010-05-25
1801124839 Martin Joseph Adelman Otolaryngology 16307 Avila Blvd, Tampa, FL 33613-1000 2009-12-02
1942473921 Kathleen A Macisaac Otolaryngology 4320 S Manhattan Ave, Tampa, FL 33611-1304 2008-04-10
1528273455 Michael James Butler Otolaryngology 6432 Renwick Cir, Tampa, FL 33647-1172 2007-05-14
1215019179 Jonathan Lyons Chadwick Otolaryngology 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 2006-10-20
1972530616 Warren S. Goldstein Otolaryngology 7425 Monika Manor Dr, Tampa, FL 33625-5814 2006-06-27
1487680856 Douglas William Klotch Otolaryngology 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 2006-06-25
1821049826 Amanollah -- Tabesh Otolaryngology 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 2006-05-14
1437143104 Lance R Meyerson Otolaryngology 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 2005-09-08
1306844105 Peter B Mckernan Otolaryngology Ear Nost & Throat Associates, 6101 Webb Rd. Ste 211, Tampa, FL 33615-2865 2005-07-14
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City TAMPA
Zip Code 33606

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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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