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Organization
HOPE MEDICAL PA
Active
Organization
HOPE MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE S BLAKE DO (DO/OWNER)
(561) 843-8460
Entity
Organization
Contact information
Practice address
11419 W PALMETTO PARK RD, UNIT 97081, BOCA RATON, FL 33497-2501
(561) 843-8460
(561) 922-3211
Mailing address
11419 W PALMETTO PARK RD UNIT 97081, BOCA RATON, FL 33497-2501
(561) 843-8460
(561) 922-3211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS10255
MEDICAL LICENSE
FL
Enumeration date
05/27/2020
Last updated
05/27/2020
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