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

Dr. Kenneth Blaze, DO

Individual provider Internal Medicine Physician · NPI 1295761286

Dr. Kenneth Blaze, DO is an Internal Medicine Physician in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3 SW 129th Ave Ste 101
Pembroke Pines, FL 33027-1778
Phone: (954) 433-4200
Fax: (954) 433-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS001666 (FL)

Record details

NPI number1295761286
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESApril 25, 2014
Mailing address7800 W Oakland Park Blvd, Suite E-214, Sunrise, FL 33351-6741

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