Individual
BLAKE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1000
Mailing address
1431 SW 1ST AVE, OCALA, FL 34471-6500
(352) 401-1425
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
03/24/2022
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