Brett P Blake (NPI# 1376772707, PAC ID# 2860632775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1376772707 |
| PAC ID by PECOS | 2860632775 |
| Professional Enrollment ID | I20160113000570 |
| Full Name | Brett P Blake |
| Organization Legal Name | NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY |
| Address |
38162 Medical Ctr Ave Zephyrhills FL 33540-1380 |
| Phone Number | 8137822165 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1153390414 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 38162 Medical Ctr Ave, Zephyrhills, FL 33540-1380 | 8137822165 | NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY |
| Organization Legal Name | NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sena Jessica Lee | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 2426 S Tamiami Trl, Sarasota, FL 34239-3842 |
| George Anderson | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 9125 Corsea Del Fontana Way, Suite 100, Naples, FL 34109-4430 |
| Heather E Pontasch | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 261 9th St S, Naples, FL 34102-6258 |
| Salma Z Pothiawala | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Milan Matthew Lombardi | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 2299 9th Ave N, Suite 1d, St Petersburg, FL 33713-6851 |
| Laura M Taylor | Nurse Practitioner | Naples Center for Dermatology and Riverchase Dermatology | 7331 Gladiolus Dr, Fort Myers, FL 33908-5101 |
| George E. Burns | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 1122 Druid Rd E, Clearwater, FL 33756-4100 |
| Veronica G Papavero | Pathology | Naples Center for Dermatology and Riverchase Dermatology | 13361 Saddle Rd, Suite 103, Fort Myers, FL 33913-9056 |
| Tanya E Ames | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 1108 Goodlette Rd N, Naples, FL 34102-5451 |
| Rory D Mcdonough | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 3268 Forum Blvd, Suite 201, Fort Myers, FL 33905-5585 |
| Street Address |
38162 MEDICAL CTR AVE |
| City | ZEPHYRHILLS |
| State | FL |
| Zip | 33540-1380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen C Davis | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 38162 Medical Ctr Ave, Zephyrhills, FL 33540-1380 |
| Michael G Caruso | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 38162 Medical Ctr Ave, Zephyrhills, FL 33540-1380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maulik K Bhalani | Interventional Pain Management | Advanced Pain Management Inc | 38011 Arbor Ridge Dr, Zephyrhills, FL 33540-1301 |
| Bryan Anthony Thomas | Physical Medicine and Rehabilitation | Advanced Pain Management Inc | 38011 Arbor Ridge Dr, Zephyrhills, FL 33540-1301 |
| Stephanie J Epting | Physical Medicine and Rehabilitation | Advanced Pain Management Inc | 38011 Arbor Ridge Dr, Zephyrhills, FL 33540-1301 |
| Arpit A. Patel | Physical Medicine and Rehabilitation | Advanced Pain Management Inc | 38011 Arbor Ridge Dr, Zephyrhills, FL 33540-1301 |
| Bassel Ramadan | Critical Care (intensivists) | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Stephanie M Williams | Nurse Practitioner | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Julia Ann Jones | Physician Assistant | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Tobin John | Family Medicine | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Jacob Sanders | Nurse Practitioner | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Christopher Lyle Schriver | Chiropractic | Frank Clinic of Chiropractic Pa | 38040 Daughtery Rd, Zephyrhills, FL 33540-1375 |
| Find all physicians in zip 33540 | |||
| City | ZEPHYRHILLS |
| Zip Code | 33540 |
| Specialty | DERMATOLOGY |
| City + Specialty | ZEPHYRHILLS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.