Individual
CAMILLE JEANETTE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1260 METROPOLITAN BLVD STE 301, TALLAHASSEE, FL 32312-2536
(850) 216-0100
(850) 201-4818
Mailing address
1300 MEDICAL DR., TALLAHASSEE, FL 32308
(850) 216-0100
(850) 309-8109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L1378315
MI
207R00000X
Internal Medicine Physician
Primary
OS12343
FL
Other
Enumeration date
08/12/2008
Last updated
04/29/2024
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