Individual
DR. JAY B.B. BLAKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7195
(305) 585-0088
Mailing address
1560 NW 15TH TER, HOMESTEAD, FL 33030-2828
(786) 243-3756
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS31499
FL
Other
Enumeration date
06/29/2005
Last updated
07/08/2007
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