Individual
MAKEDA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT, RMA
Contact information
Practice address
1800 NE 173RD ST, NORTH MIAMI BEACH, FL 33162
(305) 741-1310
(954) 827-0446
Mailing address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(305) 741-1310
(954) 827-0446
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
01/22/2024
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