Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY W BLAKE, MD
Active Sole ProprietorJEFFREY W BLAKE, MD is a Cardiovascular Disease healthcare provider located in FERNANDINA BEACH, Florida. NPI 1164431185 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · FERNANDINA BEACH, FL
Registration Details
- NPI Number
- 1164431185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2006 (20.052511532476 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LL478 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1620 NECTARINE STFERNANDINA BEACH, FL, 320344724Browse FL providers · Browse ZIP 32034
- Phone
- 9045481860
- Fax
- 9042777283
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in FERNANDINA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE GLENN LE-BERT | D.O. | 1033318928 |
| JOHN HARTWELL HOUSTON MOONEY | M.D. | 1013274158 |
| MICHAEL PATRICK SOOS | D.O. | 1366982241 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.