Individual
DR. BLAKE ALEXANDER CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
320 AVENUE K SE STE 1, WINTER HAVEN, FL 33880-4148
(863) 293-5099
Mailing address
7029 BENTRIDGE DR, LAKELAND, FL 33813-4008
(863) 393-5167
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN26120
FL
Other
Enumeration date
02/11/2021
Last updated
07/16/2024
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