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

Dr. Perth Agusta Blake, MD

Individual provider Family Medicine Physician · NPI 1063505105

Dr. Perth Agusta Blake, MD is a Family Practice in Tavares, Florida. Graduated from Loma Linda University School of Medicine in 1993, 33 years ago. Practices with You and Your Health Family Care Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
33
Trained at
Loma Linda University School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1840 Classique Ln
Tavares, FL 32778-5748
Phone: (352) 508-5046
Fax: (352) 508-5048
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0069890 (FL)

Record details

NPI number1063505105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESMarch 16, 2012
Mailing addressPo Box 1245, Tavares, FL 32778-1245

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice You And Your Health Family Care Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tavares