Individual provider · Type 1 NPI

Blake Mireles, MD, MSC

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1417844176 Active

Practice location

2501 N Orange Ave Ste 235
Orlando, FL 32804-4659

Call (407) 576-8068 Map

Mailing address

6903 Alpert Dr
Orlando, FL 32810-3603

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X43612 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417844176

Blake Mireles, MD, MSC's National Provider Identifier is 1417844176, issued on Jun 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Jun 23, 2025.