Wendell O Blake Md Pa

LBN: Wendell O Blake Md Pa
Wendell O Blake Md Pa is an health care organization with primary practice located at 505 Martin Luther King Jr Avenue Suite 2, Lakeland FL 33815-1527. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Wendell O Blake Md Pa can be contacted via phone (863) 683-5567, or through Blake, Wendell O via phone (863) 683-5567.

Contact Information

Primary practice address
505 Martin Luther King Jr Avenue Suite 2 Lakeland FL 33815-1527
Phone: (863) 683-5567
Fax: (863) 686-5814
Website:
Map and Directions
Authorized official contact:
Name: Blake, Wendell O Doctor of Medicine (MD)
Phone: (863) 683-5567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0016779 Florida

Profile Details

NPI number 1700213972
LBN Legal business name Wendell O Blake Md Pa
DBA Doing business as
Authorized official Blake, Wendell O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2013
Last updated Oct 3rd, 2013 - about 13 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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