BRETT P BLAKE

NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY

Dr BRETT P BLAKE is a male medical professional, specializing in Dermatology. He graduated in 2009 from University Of South Florida College Of Medicine.

Contact

NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY

38162 MEDICAL CTR AVE
ZEPHYRHILLS
FL
335401380

Tel: 8137822165

BRETT P BLAKE Information

Npi 1376772707
Pac Id 2860632775
Professional Enrollment Id I20160113000570
Last Name BLAKE
First Name BRETT
Middle Name P
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year 2009
Primary Specialty DERMATOLOGY
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Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY
Group Practice Pac Id 1153390414
Number Of Group Practice Members 71
Line 1 Street Address 38162 MEDICAL CTR AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ZEPHYRHILLS
State FL
Zip Code 335401380
Phone Number 8137822165
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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