Individual
MICHAEL BLAKE ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1242 GINGER CIR, WESTON, FL 33326-3627
(954) 849-3939
Mailing address
1242 GINGER CIR, WESTON, FL 33326-3627
(954) 849-3939
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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