Thomas B Blake III MD PA
Thomas B Blake III MD PA is a Colon & Rectal Surgery Physician in Maitland, Florida. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
331 N Maitland Ave Ste A-2Maitland, FL 32751-4762
Phone: (407) 629-5141
Fax: (407) 629-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Colon & Rectal Surgery Physician (primary) | Taxonomy 208C00000X |
|---|
Record details
| NPI number | 1477857670 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Blake — Owner/Officer · (407) 629-5141 |
| NPI enumerated | January 3, 2011 |
| Last updated in NPPES | January 3, 2011 |
| Mailing address | 331 N Maitland Ave, Ste A-2, Maitland, FL 32751-4762 |