GEORGE BLAKE M.D., P.A.
Medical Practice at Fremont Ave, Tampa, FL

License number
Florida ME66396
Category
Medical Practice
Type
Otolaryngology
Owner
Name: DR. GEORGE B BLAKE M.D.
Title: PRESIDENT
Phone: (813) 251-0209
Address
Address
605 S Fremont Ave SUITE A, Tampa, FL 33606
National Provider ID: 1164469151
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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George Blake, M.D., PA

605 S Fremont Ave, Tampa, FL 33606

Industry:
Medical Doctor's Office
Registration:
Apr 1, 1998
Phone:
(813) 251-0209 (Phone)
State ID:
P98000030921
Business type:
Domestic for Profit Corporation
Director:
George Blake (Director)
Agent:
Denise A. Drudy

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