Individual
MR. BLAKE WILLIAM BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1265 36TH ST, VERO BEACH, FL 32960-6574
(772) 567-6340
Mailing address
835 23RD AVE, VERO BEACH, FL 32960-3950
(772) 473-1095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
PAT9118141
FL
Other
Enumeration date
10/02/2015
Last updated
12/07/2023
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