Individual
BLAKE GERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4412 BARNES RD, JACKSONVILLE, FL 32207-7469
(904) 739-5212
Mailing address
3563 PHILLIPS HWY STE 502, JACKSONVILLE, FL 32207-5663
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AL 3753
FL
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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