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

Blake Allen Davis, PA

Individual provider Surgical Physician Assistant · NPI 1609319359

Blake Allen Davis, PA is a Surgical Physician Assistant in Fort Myers, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7331 College Pkwy, Fort Myers, FL 33907-5524 — (239) 337-2003

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110010 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9110010 (FL)

Record details

NPI number1609319359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2016
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

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