Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANICE BLAISE, MD,MBA
Active Sole ProprietorDR. DANICE BLAISE, MD,MBA is a General Practice healthcare provider located in LAKE WALES, Florida. NPI 1255829966 is currently active in the NPPES registry. Verify at CMS.
General Practice · LAKE WALES, FL
Registration Details
- NPI Number
- 1255829966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2018 (8.1187477477708 yrs)
- Last Updated
- Dec 7, 2024
- Licenses
-
ACN1418 (FL)25173 (NH)2019045102 (MO)CV2000213 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
684 STATE ROAD 60 WLAKE WALES, FL, 338534419Browse FL providers · Browse ZIP 33853
- Phone
- 8639494868
- Fax
- 8632238549
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Student (Health Education/Training)
Other General Practice Providers in LAKE WALES, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NYDIA GRICELLE DELTORO RIVERA | MD, WCC. DWC, CWS | 1679557912 |
| DR. RICHARD KEITH BACHMAN | M.D. | 1891066247 |
| JEAN FRITZNER BALAN | M.D. | 1124499173 |
| YAIRALIZ RODRIGUEZ GONZALEZ | — | 1104321348 |
| DR. CATHERINE ROBERTS DUNCAN | DVM | 1134934136 |
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.