EKG Panel of Blake
EKG Panel of Blake is a Cardiovascular Disease Physician in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
Practice location Address checks out
2020 59th St W Blake Medical CtrBradenton, FL 34209-4604
Phone: (941) 321-2830
Fax: (504) 588-2165
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Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X (FL) |
|---|
Record details
| NPI number | 1356733695 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marina Costopoulos — Administrator · (941) 365-8532 |
| NPI enumerated | February 24, 2015 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 19, 2024 |
| Mailing address | Po Box 25548, Ekg Panel Of Blake, Sarasota, FL 34277-2548 |
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