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

Blake Whitmarsh, PA

Individual provider Physician Assistant · NPI 1871119438

Blake Whitmarsh, PA is a Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2020
Specialties on file
3
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

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (386) 624-1913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Elmwood Ave, Rochester, NY 14642-0001 — (386) 624-1913

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115808 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 025073 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25073 (NY)

Record details

NPI number1871119438
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESJuly 3, 2023
Certification dateApril 26, 2022
Mailing address655 W 8th St, Jacksonville, FL 32209-6511

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