Perth A. Blake, M.D.
Family Medicine · Tavares, FL
UnclaimedM.D.NPI 1063505105
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-10-02
- Practice location
- Tavares, FL
- Last NPPES update
- 2012-03-16
State licenses
- FL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.