Individual
KRISTINA F BLASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 TECHNOLOGY PARK, SUITE 109, LAKE MARY, FL 32746
(407) 347-4331
Mailing address
312 W CHERRY ST, PERRY, FL 32347-1913
(850) 295-4110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5254261
FL
Other
Enumeration date
10/12/2023
Last updated
06/05/2026
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