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Thomas B Blake III, MD
Specialist in Maitland, Florida
NPI 1508873787

Thomas B Blake III is a Specialist based in Maitland, FL. Thomas B Blake III practices in Maitland, FL and has the professional credentials of MD. The NPI Number for Thomas B Blake III is 1508873787 and holds a License No. ME65263 (Florida).

The current practice location address for Thomas B Blake III is 331 N Maitland Ave, Maitland, FL and can be reached out via phone at 407-629-5141 and via fax at 407-629-5858.

Location: 331 N Maitland Ave, Maitland, FL, 32751-4762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508873787
Provider Name
Thomas B Blake III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
331 N Maitland Ave, Maitland, FL, 32751-4762
Phone Number
407-629-5141
Fax Number
407-629-5858
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
331 N Maitland Ave
City
Maitland
State
Florida
Zip
32751-4762
Phone Number
407-629-5141
Fax Number
407-629-5858
person
Provider Business Mailing Address Details
Address
331 N Maitland Ave
City
Maitland
State
Florida
Zip
32751-4762
Phone Number
407-629-5141
Fax Number
407-629-5858
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME65263 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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