Dr CHARLES RICHARD BLAKE MD is a male medical professional, specializing in Ophthalmology. He graduated in 2000 from University Of Alabama School Of Medicine.
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
2000 SW ARCHER RD 4TH FLOOR
GAINESVILLE
FL
326081136
Tel:
| Npi | 1386645224 |
| Pac Id | 4082671037 |
| Professional Enrollment Id | I20041213000037 |
| Last Name | BLAKE |
| First Name | CHARLES |
| Middle Name | RICHARD |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | OPHTHALMOLOGY |
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| Organization Legal Name | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
| Group Practice Pac Id | 0345146254 |
| Number Of Group Practice Members | 1143 |
| Line 1 Street Address | 2000 SW ARCHER RD 4TH FLOOR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 326081136 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 100113 |
| Hospital Affiliation Lbn 1 | UF HEALTH SHANDS HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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