GREGORY MICHAEL BLAKE (NPI# 1679193684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679193684 |
| Entity Type | Individual |
| Full Name | GREGORY MICHAEL BLAKE |
| Credential | PHARMD |
| Practice Address |
2100 Se Salerno Rd Stuart FL 34997-6503 |
| Mailing Address |
544 Sw Kabot Ave Port Saint Lucie FL 34953-3053 |
| Practice Telephone | 7722232300 |
| Mailing Telephone | 7726264362 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
PS58228 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150060 | Gregory Alen Blake Jr. | Nurse Practitioner | 1636 Tunis Dr, Harrison, OH 45030-2834 | 2018-10-15 |
| 1073004743 | Gregory Blake | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-05-29 |
| 1841257482 | Gregory Harold Blake | Family Medicine | 1924 Alcoa Hwy, U-100, Knoxville, TN 37920-1511 | 2006-04-27 |
| Street Address |
2100 SE SALERNO RD |
| City | STUART |
| State | FL |
| Zip Code | 34997-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366469975 | Coastal Care Corporation | Clinic/Center | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2006-07-17 |
| 1972166122 | Michael Mann | Physical Therapist | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2019-04-15 |
| 1578066601 | Brittany Gillespie | Nurse Practitioner | 2100 Se Salerno Rd, Stuart, FL 34997 | 2018-03-15 |
| 1326178088 | Stuart Emergency Physicians | Emergency Medicine | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 1835C0205X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Critical Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752221 | Mohammed Izzeddin Al Said | Pharmacist | 2550 Sw 76th St Apt 230, Gainesville, FL 32608-0346 | 2020-05-25 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1073123535 | Mohamed Elmarakbi | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-08-08 |
| 1982221826 | Abbie Rosen | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-06-26 |
| 1669015715 | Stacy Voils | Pharmacist | 1225 Center Dr, Gainesville, FL 32610-3007 | 2019-10-22 |
| 1093357311 | Melissa John | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-09 |
| 1376184796 | Aimee Gennaro | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-07 |
| 1326689746 | Zachary Drabick | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-07 |
| 1285285882 | Jason Ferreira | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.