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1588661185
WAYNE S BLAKE
SARASOTA, FL
NPI
1588661185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL OS 10255)
Enumeration Date
2005-06-28
Last Update Date
2018-08-23
Business Address
Dr. WAYNE S BLAKE D.O.
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Phone number: 941-917-4896
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Mailing Address
Dr. WAYNE S BLAKE D.O.
PO BOX 863407
ORLANDO, FL 32886-3407
Phone number: 941-917-2600
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