Individual
DAVID ALEJANDRO BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
3200 NW 79TH ST, MIAMI, FL 33147-4600
(305) 913-8714
(305) 691-5760
Mailing address
3200 NW 79TH ST, MIAMI, FL 33147-4600
(305) 913-8714
(305) 691-5760
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6867
FL
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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