Blake, Sarah Louise
Blake, Sarah Louise is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Blake, Sarah Louise can be contacted via phone (352) 273-8610.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-1713
Phone: (352) 273-8610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME161867 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 241972 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 241972 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME161867 | Florida |
Profile Details
| NPI number | 1619003092 |
|---|---|
| LBN Legal business name | Blake, Sarah Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 30th, 2023 - about 3 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 | 1619003092 | NPPES |
| Florida | MEDICAID | 118792900 | |
| Florida | MEDICAID | 1100850080A |
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