Crosby, Blake Alexander
Crosby, Blake Alexander is an individual health care provider with primary practice located at 320 Avenue K Se Ste 1 , Winter Haven FL 33880-4148. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Crosby, Blake Alexander can be contacted via phone (863) 293-5099.Contact Information
Primary practice address
320 Avenue K Se Ste 1
Winter Haven FL 33880-4148
Phone: (863) 293-5099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN26120 | Florida |
Profile Details
| NPI number | 1316539299 |
|---|---|
| LBN Legal business name | Crosby, Blake Alexander |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2021 |
| Last updated | Jul 16th, 2024 - about 2 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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