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

Dr. Brett Patrick Blake, MD

Individual provider Dermatology Physician · NPI 1376772707

Dr. Brett Patrick Blake, MD is a Dermatology in Lecanto, Florida. Graduated from University of South Florida College of Medicine in 2009, 17 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2009
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

525 N Dacie Pt
Lecanto, FL 34461-8399
Phone: (813) 321-1786
Fax: (813) 321-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME125767 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence ME125767 (FL)

Record details

NPI number1376772707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address18228 N Us Highway 41, Lutz, FL 33549-4400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lecanto