DR. BLAKE JEFFREY FERNANDEZ M.D. NPI 1831624014

NPI Information

NPI: 1831624014
Provider Name: DR. BLAKE JEFFREY FERNANDEZ, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 6101 WEBB RD STE 101
TAMPA, FL
ZIP 33615
Phone: (813) 520-0582

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NPI Details

DR. Blake Jeffrey Fernandez, M.D. is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Blake Jeffrey Fernandez, M.D. NPI is 1831624014. 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:

6101 WEBB RD STE 101
TAMPA, FL
ZIP 33615-859
Phone: (813) 520-0582

The NPI 1831624014 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 12/8/2022.

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	License Number	License State	Primary
1	207P00000X	Emergency Medicine	ME144848	FLORIDA	No
2	208D00000X	General Practice	ME144848	FLORIDA	No
3	390200000X	Student in an Organized Health Care Education/Training Program			No
4	207Q00000X	Family Medicine	E-14205	ARKANSAS	Yes

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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