Thomas B. Blake III, MD

Specialist · Maitland, FL

Individual Active NPI

NPI number 1508873787

Practice location

331 N Maitland Ave
Suite a-2
Maitland, FL 32751-4762
Phone
(407) 629-5141
Fax
(407) 629-5858

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NPI record

NPI
1508873787
Entity type
Individual (Type 1)
Enumeration date
August 1, 2006
Last updated
January 3, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X ME65263 FL
Specialist 174400000X 033032 GA

About Dr. Blake

Thomas B. Blake III, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 331 N Maitland Ave, Suite a-2, Maitland, FL 32751-4762. The NPI number 1508873787 was assigned on August 1, 2006 and the record was last updated on January 3, 2011.

Dr. Blake lists 2 licenses in the registry: #ME65263 (FL) for Specialist; #033032 (GA) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas B. Blake III, MD?

The NPI number is 1508873787.

What is the phone number of Dr. Blake?

The phone number listed for the practice location is (407) 629-5141.

Where is Dr. Blake located?

331 N Maitland Ave, Suite a-2, Maitland, FL 32751-4762.

What is the taxonomy code for Dr. Blake?

The primary taxonomy code is 174400000X – Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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