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

Blake Richard Shaffer, MD

Individual provider Internal Medicine Physician · NPI 1235510140

Blake Richard Shaffer, MD is an Internal Medicine Physician in Eglin AFB, Florida. Licensed in Pennsylvania and Virginia. Registered with an NPI since 2015.

Licensed in
PA, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone: (850) 883-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 0101261224 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT208977 (PA)

Record details

NPI number1235510140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302

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