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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOLISHA BLAKE, RN

Active Sole Proprietor

KOLISHA BLAKE, RN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in MARGATE, Florida. NPI 1578445367 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · MARGATE, FL

Registration Details

NPI Number
1578445367
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2025 (1.1083839196108 yrs)
Last Updated
Jul 22, 2025
Sole Proprietor
Yes

Practice Information

Address
6560 NW 11TH ST
MARGATE, FL, 330633510
Browse FL providers · Browse ZIP 33063
Phone
9548894967
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.