JOHN BLAKE

TAMPA, FL
NPI1497938096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  1158122)
Enumeration Date2007-12-06
Last Update Date2007-12-06
Business Address
-- JOHN BLAKE ARNP
2605 W SWANN AVE STE 600
TAMPA, FL 33609-4039
Phone number: 813-876-7073
Mailing Address
-- JOHN BLAKE ARNP
2605 W SWANN AVE STE 600
TAMPA, FL 33609-4039
Phone number: 813-876-7073