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THOMAS B BLAKE III MD PA NPI 1477857670


NPI Information

NPI: 1477857670
Provider Name: THOMAS B BLAKE III MD PA
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
331 N MAITLAND AVE
STE A-2
MAITLAND, FL
ZIP 32751
Phone: (407) 629-5141
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THOMAS B BLAKE III MD PA is a colon rectal surgery in Maitland, FL. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. THOMAS B BLAKE III MD PA NPI is 1477857670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

331 N MAITLAND AVE
STE A-2
MAITLAND, FL
ZIP 32751-762
Phone: (407) 629-5141
Fax: (407) 629-5858

The provider's authorized official is Thomas B Blake .
The authorized official title is Owner/officer and has the following contact phone number (407) 629-5141.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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