Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

George Blake MD, PA

Organization Otolaryngology Physician · NPI 1164469151

George Blake MD, PA is an Otolaryngology Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 S Fremont Ave Ste A
Tampa, FL 33606-2479
Phone: (813) 251-0209
Fax: (813) 258-0600
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME66396 (FL)

Record details

NPI number1164469151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Blake — President · (813) 251-0209
NPI enumeratedMay 31, 2006
Last updated in NPPESJanuary 13, 2012
Mailing address605 S Fremont Ave, Suite A, Tampa, FL 33606-2479

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