Individual provider · Type 1 NPI

Robert F. Blake, MMS, PA-C

Surgical Physician Assistant · Wellington, FL

NPI number 1780772749 Active

Practice location

1447 Medical Park Blvd, Suite #101
Wellington, FL 33414-3164

Fax (561) 800-1074

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9103551 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1780772749

Robert F. Blake, MMS, PA-C's National Provider Identifier is 1780772749, issued on Oct 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wellington, FL. The record was last updated on Feb 22, 2012.