Individual
MARY ANN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6950 NW 41ST ST, MIAMI, FL 33166-6815
(305) 470-2877
Mailing address
8965 SW 199TH ST, MIAMI, FL 33157-8971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
667382
FL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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