Dr. Danice Blaise, MD, MBA
Dr. Danice Blaise, MD, MBA is a General Practice in Lake Wales, Florida. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Indiana, Missouri and New Hampshire.
- Years since qualifying
- 9
- Licensed in
- FL, IN, MO, NH
- In the registry since
- 2018
- Specialties on file
- 5
What do these letters mean?
Practice location Address checks out
684 State Road 60 WLake Wales, FL 33853-4419
Phone: (863) 949-4868
Fax: (863) 223-8549
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 571 Avenue K Se, Winter Haven, FL 33880-4215 — (407) 440-0708
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence ACN1418 (FL) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 25173 (NH) |
| Physician Assistant | Taxonomy 363A00000X · Licence 2019045102 (MO) |
| Physician Assistant | Taxonomy 363A00000X · Licence CV2000213 (IN) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1255829966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , MBA |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2018 |
| Last updated in NPPES | December 7, 2024 |
| Certification date | December 7, 2024 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lake Wales
-
American Care of North Florida, Inc
1120 Carlton Ave Ste 1500, Lake Wales, FL 33853-4352 · (863) 270-4546
-
Jean Fritzner Balan, MD
305 W Central Ave, Lake Wales, FL 33853-4015 · (866) 234-8534
-
Dr. Nydia Gricelle Deltoro Rivera, MD, WCCDWC, CWS
1120 Carlton Ave, Lake Wales, FL 33853-4348 · (863) 270-4546
-
Dr. Catherine Roberts Duncan, DVM
953 Old Cutler Rd, Lake Wales, FL 33898-6543 · (904) 655-5794
-
Gaynor Medical Practice
10 W Grove Ave Ste 108, Lake Wales, FL 33853-4516 · (407) 325-5227
-
Yairaliz Rodriguez Gonzalez
684 State Road 60 W, Lake Wales, FL 33853-4419 · (863) 949-4868