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

Thomas B Blake III, MD

Individual provider Specialist · NPI 1508873787

Thomas B Blake III, MD is a Specialist in Maitland, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2006.

Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

331 N Maitland Ave Ste A-2
Maitland, FL 32751-4762
Phone: (407) 629-5141
Fax: (407) 629-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME65263 (FL)
Specialist Taxonomy 174400000X · Licence 033032 (GA)

Record details

NPI number1508873787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJanuary 3, 2011
Mailing address331 N Maitland Ave, Suite A-2, Maitland, FL 32751-4762

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