Individual
BLAKE ALLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-1614
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1614
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110010
FL
363AS0400X
Surgical Physician Assistant
PA9110010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126087000
—
FL
Enumeration date
11/29/2016
Last updated
05/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us