Individual
DR. BLAKE PATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 963-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME146214
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01054941A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
52491
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
52838
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
G57717
CA
Other
Enumeration date
01/20/2011
Last updated
10/07/2021
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