KENNETH BLAZE

PEMBROKE PINES, FL
NPI1295761286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  OS001666)
Enumeration Date2006-06-23
Last Update Date2014-04-25
Business Address
Dr. KENNETH BLAZE D.O.
3 SW 129TH AVENUE SUITE 101
PEMBROKE PINES, FL 33027-1778
Phone number: 954-433-4200
Mailing Address
Dr. KENNETH BLAZE D.O.
7800 W OAKLAND PARK BLVD SUITE E-214
SUNRISE, FL 33351-6741
Phone number: 954-318-6590