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

Dr. Blake Mireles, MD, MSC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417844176

Dr. Blake Mireles, MD, MSC is a Student in an Organized Health Care Education/Training Program in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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

2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Phone: (407) 576-8068
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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 43612 (FL)

Record details

NPI number1417844176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MSC
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address6903 Alpert Dr, Orlando, FL 32810-3603

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