Individual
DR. BLAKE THOMAS EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-3696
Mailing address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-3665
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN29145
FL
208D00000X
General Practice Physician
97616
GA
Other
Enumeration date
06/10/2019
Last updated
12/15/2023
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