Individual
DAVID BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5593 81ST TER N, PINELLAS PARK, FL 33781-2302
(352) 397-6768
Mailing address
5593 81ST TER N, PINELLAS PARK, FL 33781-2302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113751
FL
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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