WENDELL O BLAKE MD PA


Address: 505 Martin Luther King Jr Avenue, Suite 2, Lakeland, FL 33815-1527
Phone: 8636835567

WENDELL O BLAKE MD PA (NPI# 1700213972) 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) 1700213972
Entity Type Organization
Organization Name WENDELL O BLAKE MD PA
Practice Address 505 Martin Luther King Jr Avenue
Suite 2
Lakeland
FL 33815-1527
Practice Telephone 8636835567
Practice Fax Number 8636865814
Mailing Telephone 8636835567
Mailing Fax Number 8636865814
Enumeration Date 2013-10-03
Last Update Date 2013-10-03
Authorized Official Name WENDELL O BLAKE (PRESIDENT)
Authorized Official Telephone 8636835567
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ME0016779 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 505 MARTIN LUTHER KING JR AVENUE
SUITE 2
City LAKELAND
State FL
Zip Code 33815-1527

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
1235287095 Wendell Owen Blake Family Medicine 505 Martin Luther King Ave, Suite 2, Lakeland, FL 33815 2007-01-08
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
Find all providers in zip 33815

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811517840 Kecia Howell General Practice 7433 Us Highway 98 N, Lakeland, FL 33809-2140 2020-04-20
1114393469 Lakeland Regional Health Systems, Inc. General Practice 811 S Lakeside Ave, Lakeland, FL 33815-4771 2015-08-20
1649572249 Lysmar Carrion Dinguis General Practice 4725 Us Highway 98 S Ste 101, Lakeland, FL 33812-4334 2010-12-02
1891945580 Luis J. Velazquez Vicente General Practice 4120 Us Highway 98 N, Suite 200, Lakeland, FL 33809-3854 2008-09-30
1225227051 Lenny Tua Mendez General Practice 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812-4334 2007-10-17
1841344454 Evans Salomon Mercier General Practice 5020 Williamstown Blvd, Lakeland, FL 33810-3707 2007-01-22
1174690358 Prudencio P Aqui General Practice 2133 S Combee Rd, Sterling Square, Lakeland, FL 33801 2006-11-30
1225134745 Esther Echevarria General Practice 3810 S Florida Ave, Lakeland, FL 33813-1105 2006-09-15
1164539870 Luis Garcia Rivera General Practice 5425 S Florida Ave, Lakeland, FL 33813 2006-08-25
1851309298 Mari C Fielding Md Pa General Practice 2720 Nevada Rd, Lakeland, FL 33803 2006-08-03
Find all providers in LAKELAND

Competitor

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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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