Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MOSI BLAKE, L/ATC
Active Sole ProprietorMR. MOSI BLAKE, L/ATC is a Athletic Trainer healthcare provider located in BRANDON, Florida. NPI 1336656263 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRANDON, FL
Registration Details
- NPI Number
- 1336656263
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2017 (8.5817204573481 yrs)
- Last Updated
- Apr 22, 2021
- License
-
AL2928 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 E BRANDON BLVDBRANDON, FL, 335115222Browse FL providers · Browse ZIP 33511
- Phone
- 8139789700
- Fax
- 8135586187
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRANDON, FL
| Name | Credential | NPI |
|---|---|---|
| TARYN K FABIAN | ATC | 1275924094 |
| MS. PRISCILA ANDREA MEDINA | ATC | 1245761386 |
| RONALD SHANNON TERRELL | — | 1164944450 |
| OMAR L ABADIE | ATC,LAT | 1669994661 |
| NICOLE PALLESCO SAMALA | ATC, LAT | 1396261061 |
| BRIANNA MIKOL GALLEGOS | — | 1447725585 |
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.