Individual
DR. SARAH LOUISE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1713
(352) 273-8610
Mailing address
36 CENTRE LN, MILTON, MA 02186-3912
(718) 541-1864
(458) 201-6005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME161867
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
241972
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME161867
FL
208VP0000X
Pain Medicine Physician
241972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100850080A
—
MA
05
—
118792900
—
FL
Enumeration date
02/27/2007
Last updated
07/30/2023
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