BLAKE AND FRANKLIN MD PA NPI 1083936058

NPI Information

  • NPI: 1083936058
  • Provider Name: BLAKE AND FRANKLIN MD PA
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 505 MARTIN LUTHER KING JR AVE
    STE 2
    LAKELAND, FL
    ZIP 33815
  • Phone: (863) 683-5567

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NPI Details

BLAKE AND FRANKLIN MD PA is a general practice in Lakeland, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BLAKE AND FRANKLIN MD PA NPI is 1083936058. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

505 MARTIN LUTHER KING JR AVE
STE 2
LAKELAND, FL
ZIP 33815
Phone: (863) 683-5567
Fax: (863) 686-5814

The provider's authorized official is Wendell O Blake .
The authorized official title is President and has the following contact phone number (863) 683-5567.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 8/25/2010.

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
1208D00000XGeneral PracticeME 0016779FLORIDANo
2208D00000XGeneral PracticeME0030612FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D61780MEDICARE UPINFLORIDA
2D52518MEDICARE UPINFLORIDA

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: 11/21/2025

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