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

Jeffrey W Blake, MD

Individual provider Cardiovascular Disease Physician · NPI 1164431185

Jeffrey W Blake, MD is a Cardiovascular Disease Physician in Fernandina Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

1620 Nectarine St
Fernandina Beach, FL 32034-4724
Phone: (904) 548-1860
Fax: (904) 277-7283
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Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence LL478 (FL)

Record details

NPI number1164431185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 517, Fernandina Beach, FL 32035-0517

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