Blaze, John Travis

Blaze, John Travis is an individual health care provider with primary practice located at 5396 Longhorn Trl , Gulf Breeze FL 32563-9353. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blaze, John Travis can be contacted via phone (850) 270-7773.

Contact Information

Primary practice address
5396 Longhorn Trl Gulf Breeze FL 32563-9353
Phone: (850) 270-7773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9366 Florida

Profile Details

NPI number 1144562695
LBN Legal business name Blaze, John Travis
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Aug 18th, 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.

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