Blake, Jeffrey W

Blake, Jeffrey W is an sole proprietor health care provider with primary practice located at 1620 Nectarine St , Fernandina Beach FL 32034-4724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Blake, Jeffrey W can be contacted via phone (904) 548-1860.

Contact Information

Primary practice address
1620 Nectarine St Fernandina Beach FL 32034-4724
Phone: (904) 548-1860
Fax: (904) 277-7283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X LL478 Florida

Profile Details

NPI number 1164431185
LBN Legal business name Blake, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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