Individual
BLAKE HOUSEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL 32714-3502
(407) 587-8600
Mailing address
628 RIVERVIEW AVE, ALTAMONTE SPRINGS, FL 32714-7428
(386) 882-5892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11037768
FL
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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