Organization
BLAKE AND FRANKLIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL O BLAKE M.D. (PRESIDENT)
(863) 683-5567
Entity
Organization
Contact information
Practice address
505 MARTIN LUTHER KING JR AVE, STE 2, LAKELAND, FL 33815
(863) 683-5567
(863) 686-5814
Mailing address
505 MARTIN LUTHER KING JR AVE, STE 2, LAKELAND, FL 33815
(863) 683-5567
(863) 686-5814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ME 0016779
FL
208D00000X
General Practice Physician
Primary
ME0030612
FL
Other
Enumeration date
02/18/2010
Last updated
08/25/2010
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