DR. WENDELL OWEN BLAKE


Address: 505 Martin Luther King Ave, Suite 2, Lakeland, FL 33815
Phone: 8636835567

DR. WENDELL OWEN BLAKE (NPI# 1235287095) 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) 1235287095
Entity Type Individual
Full Name DR. WENDELL OWEN BLAKE
Practice Address 505 Martin Luther King Ave
Suite 2
Lakeland
FL 33815
Practice Telephone 8636835567
Mailing Telephone 8636835567
Enumeration Date 2007-01-08
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 207Q00000X Family Medicine ME0016779 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 055666100 05

Office Location

Street Address 505 MARTIN LUTHER KING AVE
SUITE 2
City LAKELAND
State FL
Zip Code 33815

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174162093 Deborah Beall Boynton Counselor 219 Hillcrest St, Lakeland, FL 33815 2019-12-23
1992247373 Lizvel Rosario Counselor 220 Lake Wire Dr., Lakeland, FL 33815 2016-11-16
1235554783 Florida Baptist Children's Homes Community Based Residential Treatment Facility, Mental Illness 1015 Sikes Blvd., Lakeland, FL 33815 2014-02-20
1902229255 Christina Miller Nurse Practitioner 6850 New Tampa Hwy Ste 600, Lakeland, FL 33815 2014-01-22
1902111099 Jeanene Nicole Robinson-kyles Psychologist 505 Martin L. King Jr. Ave, Suite 1, Lakeland, FL 33815 2010-08-12
1104983899 Lake Wire Pharmacy Inc Pharmacist 505 Martin Luther King Jr Ave, Suite 3, Lakeland, FL 33815 2007-01-02
1427038637 Rotech Oxygen and Medical Equipment Inc Durable Medical Equipment & Medical Supplies 5315 Great Oak Drive, Lakeland, FL 33815 2006-01-23
1598205841 Daphne Toussaint Dentist 607 S Missouri Ave, Lakeland, FL 33815 2017-03-06
1083936058 Blake and Franklin Md Pa General Practice 505 Martin Luther King Jr Ave, Ste 2, Lakeland, FL 33815 2010-02-18
1851398705 Richard W Merritt Dc Pa Chiropractor 1253 W Memorial Blvd, Lakeland, FL 33815-0602 2005-07-07
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121909 Amanda Millican Family Medicine 605 Laura Rd, Lakeland, FL 33815-3220 2020-10-14
1093320848 Katrena Borders Flowers Family Medicine 2629 Highlands Creek Way, Lakeland, FL 33813-6301 2020-09-09
1578177523 Robinson Family Clinic Inc Family Medicine 4406 S Florida Ave Ste 30, Lakeland, FL 33813-2176 2020-09-06
1306467311 Christopher James Miller Family Medicine 215 S Elm Rd, Lakeland, FL 33801-2310 2020-04-30
1811480387 Victoria Anne Morin Family Medicine 1463 Town Center Dr, Lakeland, FL 33803-7966 2018-06-10
1467890665 Rachael Veronique Ollivierre-agard Family Medicine 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813-2633 2013-06-10
1740587211 Javier Andres Diago Benjumea Family Medicine 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 2011-02-18
1891099792 Sergio B Seoane Md Pa Family Medicine 118 Allamanda Sr, Lakeland, FL 33803 2011-01-06
1063673812 Avantica Gondi Family Medicine 1818 Harden Blvd Ste 120, Lakeland, FL 33803-1813 2008-06-24
1942460902 Michael Curtiss Family Medicine 2039 E Edgewood Dr, Suite B, Lakeland, FL 33803-3601 2008-06-12
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City LAKELAND
Zip Code 33815

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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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