MR. BLAKE REESE POTTER NPI 1588515993

NPI Information

  • NPI: 1588515993
  • Provider Name: MR. BLAKE REESE POTTER
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 13609 RESTER RD
    GROVELAND, FL
    ZIP 34736
  • Phone: (352) 227-0039

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NPI Details

MR. Blake Reese Potter is a technician other in Groveland, FL. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Blake Reese Potter NPI is 1588515993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13609 RESTER RD
GROVELAND, FL
ZIP 34736-391
Phone: (352) 227-0039

The enumeration date for this NPI number is 2/4/2026 and was last updated on 2/4/2026.

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
1247200000XTechnician, OtherFLORIDAYes

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

NPI Synchronization or Removal

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