Individual
BLAKE JARED GARY
Active
Individual
BLAKE JARED GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP07235
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9315576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003238800
—
FL
05
—
125956
—
AL
01
—
592-13614
BLUE CROSS BLUE SHIELD
AL
01
—
G00M5
BLUE CROSS BLUE SHIELD
FL
01
—
P00929451
MEDICARE RAILROAD
—
Enumeration date
01/18/2011
Last updated
07/20/2026
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