Katherine E. Blake (NPI# 1912246331, PAC ID# 8921238965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912246331 |
| PAC ID by PECOS | 8921238965 |
| Professional Enrollment ID | I20170613000208 |
| Full Name | Katherine E. Blake |
| Organization Legal Name | DWIC OF TAMPA BAY INC |
| Address |
10500 Ulmerton Rd Suite 202 Largo FL 33771-3503 |
| Phone Number | 7275182273 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779573167 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10500 Ulmerton Rd, Suite 202, Largo, FL 33771-3503 | 7275182273 | DWIC OF TAMPA BAY INC |
| Organization Legal Name | DWIC OF TAMPA BAY INC |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian A Villarreal | Family Medicine | Dwic of Tampa Bay Inc | 11985 Atlantic Blvd, Jacksonville, FL 32225-2919 |
| Richard B Boone | Family Medicine | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Anthony R Conti | Family Medicine | Dwic of Tampa Bay Inc | 13005 Collier Blvd, Naples, FL 34116-4003 |
| Judy L Miles | Nurse Practitioner | Dwic of Tampa Bay Inc | 5616 Tuscola Blvd, North Port, FL 34287-2738 |
| Robin M Longley | Family Practice | Dwic of Tampa Bay Inc | 13856 N Dale Mabry Hwy, Tampa, FL 33618-2420 |
| Ravindra N Vajjhala | Emergency Medicine | Dwic of Tampa Bay Inc | 2810 W Mlk Blvd, Tampa, FL 33607-6393 |
| Juliette M Vanputten | Family Medicine | Dwic of Tampa Bay Inc | 7720 Merrill Rd, Jacksonville, FL 32277-3715 |
| Lucas J Mcarthur | Emergency Medicine | Dwic of Tampa Bay Inc | 8849 State Rd, Suite 52, Hudson, FL 34667-6742 |
| Sandra M Brown | Nurse Practitioner | Dwic of Tampa Bay Inc | 313 Se Pine Island Rd, Medexpress Urgent Care Cape Coral, Cape Coral, FL 33991-2043 |
| Carey Ledee Krause | Nurse Practitioner | Dwic of Tampa Bay Inc | 20677 Bruce B Downs Blvd, Tampa, FL 33647-3553 |
| Street Address |
10500 ULMERTON RD SUITE 202 |
| City | LARGO |
| State | FL |
| Zip | 33771-3503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Korey Young | Optometry | Largo Family Eye Care | 10500 Ulmerton Rd, Suite 230, Largo, FL 33771-3514 |
| Sahar Afsordeh | Optometry | Largo Family Eye Care | 10500 Ulmerton Rd, Suite 230, Largo, FL 33771-3514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Jonathan Thomas Dismuke | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melanie F Makar | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Anthony S Casinger | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melissa Gail Cole | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Find all physicians in zip 33771 | |||
| City | LARGO |
| Zip Code | 33771 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LARGO + NURSE PRACTITIONER |
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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.