Dr Kenneth Blaze Pa And Associates

LBN: Dr Kenneth Blaze Pa And Associates
Dr Kenneth Blaze Pa And Associates is an health care organization with primary practice located at 1 Sw 129Th Ave Suite 109, Pembroke Pines FL 33027-1761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Dr Kenneth Blaze Pa And Associates can be contacted via phone (954) 433-4200, or through Gonzalez, Manuel D via phone (954) 433-4200.

Contact Information

Primary practice address
1 Sw 129Th Ave Suite 109 Pembroke Pines FL 33027-1761
Phone: (954) 433-4200
Fax: (954) 433-7710
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Manuel D Doctor of Medicine (MD)
Phone: (954) 433-4200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1932250297
LBN Legal business name Dr Kenneth Blaze Pa And Associates
DBA Doing business as
Authorized official Gonzalez, Manuel D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Dec 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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