JONATHAN ISAAC BLAKE

DAVIE, FL
NPI1770917627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  28442)
Enumeration Date2013-08-28
Last Update Date2013-08-28
Business Address
-- JONATHAN ISAAC BLAKE DPT
8701 SW 30TH ST APT 206
DAVIE, FL 33328-1828
Phone number: 407-376-7688
Mailing Address
-- JONATHAN ISAAC BLAKE DPT
8701 SW 30TH ST APT 206
DAVIE, FL 33328-1828
Phone number: 407-376-7688
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