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

Matthew Jeremy Blakemore, PA

Individual provider Physician Assistant · NPI 1134653827

Matthew Jeremy Blakemore, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2016, 10 years ago. Practices with Florida Practitioners, LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6150 Diamond Centre Ct Ste 1300
Fort Myers, FL 33912-4367
Phone: (239) 344-9786
Fax: (239) 344-9215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110051 (FL)

Record details

NPI number1134653827
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Florida Practitioners, Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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