Blake, Dahlia Ann
Blake, Dahlia Ann is an individual health care provider with primary practice located at 3501 Johnson St Memorial Regional Hospital Dept. Critical Care, Hollywood FL 33021-5421. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Sleep Specialist, PhD, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Blake, Dahlia Ann can be contacted via phone (954) 265-9976.Contact Information
Primary practice address
3501 Johnson St Memorial Regional Hospital Dept. Critical Care
Hollywood FL 33021-5421
Phone: (954) 265-9976
Fax: (954) 965-5396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Sleep Specialist, PhD | 173F00000X | 2004-01370 | North Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2004-01370 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME86801 | Florida |
Profile Details
| NPI number | 1568496727 |
|---|---|
| LBN Legal business name | Blake, Dahlia Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568496727 | NPPES |
| Florida | MEDICAID | 266289200 |
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