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

Mr. Mosi Blake, L/ATC

Individual provider Athletic Trainer · NPI 1336656263

Mr. Mosi Blake, L/ATC is an Athletic Trainer in Brandon, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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Practice location Address checks out

305 E Brandon Blvd
Brandon, FL 33511-5222
Phone: (813) 978-9700
Fax: (813) 558-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL2928 (FL)

Record details

NPI number1336656263
Entity typeIndividual (Type 1)
GenderMale
Credentials L/ATC
Sole proprietorYes
NPI enumeratedDecember 31, 2017
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021
Mailing address13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925

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