WENDELL O BLAKE MD PA

LAKELAND, FL
NPI1700213972
Entity TypeOrganization
Authorized ContactWENDELL O BLAKE
President
863-683-5567
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  ME0016779)
Enumeration Date2013-10-03
Last Update Date2013-10-03
Business Address
WENDELL O BLAKE MD PA
505 MARTIN LUTHER KING JR AVENUE SUITE 2
LAKELAND, FL 33815-1527
Phone number: 863-683-5567
Mailing Address
WENDELL O BLAKE MD PA
505 MARTIN LUTHER KING JR AVENUE SUITE 2
LAKELAND, FL 33815-1527
Phone number: 863-683-5567
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