Individual
JESSE BLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMD
Contact information
Practice address
505 NW MARTIN LUTHER KING JR AVE, OCALA, FL 34475-5810
(352) 239-5585
(352) 629-8507
Mailing address
505 NW MARTIN LUTHER KING JR AVE, OCALA, FL 34475-5810
(352) 239-5585
(352) 629-8507
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD200769
FL
146N00000X
Basic Emergency Medical Technician
EMT84124
FL
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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