BLAISE PODIATRY NPI 1104267673

NPI Information

  • NPI: 1104267673
  • Provider Name: BLAISE PODIATRY
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 3500 NW 17TH AVE
    MIAMI, FL
    ZIP 33142
  • Phone: (305) 761-1262

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NPI Details

BLAISE PODIATRY is a foot and ankle surgery podiatrist in Miami, FL. BLAISE PODIATRY NPI is 1104267673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 NW 17TH AVE
MIAMI, FL
ZIP 33142-540
Phone: (305) 761-1262
Fax: (305) 675-8164

The provider's authorized official is Alexander Blaise .
The authorized official title is Owner and has the following contact phone number (305) 761-1262.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 1/22/2019.

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
1213ES0103XPodiatristFoot & Ankle SurgeryPO3526FLORIDAYes

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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