Robert F Blake, MMS, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Wellington, FL

NPI

1780772749

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

PA9103551 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-11

Last updated

2012-02-22