Individual
DAHLIA ANN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, MEMORIAL REGIONAL HOSPITAL DEPT. CRITICAL CARE, HOLLYWOOD, FL 33021-5421
(954) 265-9976
(954) 965-5396
Mailing address
3501 JOHNSON ST, MEMORIAL REGIONAL HOSPITAL DEPT. CRITICAL CARE, HOLLYWOOD, FL 33021-5421
(954) 265-9976
(954) 965-5396
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
2004-01370
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME86801
FL
207RP1001X
Pulmonary Disease Physician
2004-01370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266289200
—
FL
Enumeration date
07/11/2006
Last updated
03/16/2021
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