Individual
BLAKE NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
225 SUNNYSIDE DR, LEESBURG, FL 34748-6171
(352) 551-6221
Mailing address
2177 BEARDSLEY DR, APOPKA, FL 32703-1672
(352) 551-6221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9595680
FL
363LF0000X
Family Nurse Practitioner
Primary
11037113
FL
Other
Enumeration date
01/04/2025
Last updated
05/26/2025
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