Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert F Blake, MMS, PA-C

Individual provider Surgical Physician Assistant · NPI 1780772749

Robert F Blake, MMS, PA-C is a Surgical Physician Assistant in Wellington, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1447 Medical Park Blvd Ste #101
Wellington, FL 33414-3164
Phone: (561) 844-0120
Fax: (561) 800-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9103551 (FL)

Record details

NPI number1780772749
Entity typeIndividual (Type 1)
GenderMale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESFebruary 22, 2012

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