Individual provider · Type 1 NPI

Tate Blankespoor, MD

Military Health Care Provider · Jacksonville, FL

NPI number 1720915622 Active

Practice location

2080 Child St Dept 5000
Jacksonville, FL 32214-5000

Call (904) 542-7606 Map

Mailing address

1922 210th St
Inwood, IA 51240-7734

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1720915622

Tate Blankespoor, MD's National Provider Identifier is 1720915622, issued on May 5, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jacksonville, FL. The record was last updated on May 12, 2026.