Blake, Patricia
Blake, Patricia is an individual health care provider with primary practice located at 1421 Malabar Rd Ne Suite 240, Palm Bay FL 32907-2576. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blake, Patricia can be contacted via phone (321) 722-8440.Contact Information
Primary practice address
1421 Malabar Rd Ne Suite 240
Palm Bay FL 32907-2576
Phone: (321) 722-8440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN15937 | Florida |
Profile Details
| NPI number | 1568473312 |
|---|---|
| LBN Legal business name | Blake, Patricia |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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