Blake and Franklin MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0030612 Issued in FL

Legal business name

BLAKE AND FRANKLIN MD PA

Practice address

505 Martin Luther King Jr Ave
Ste 2
Lakeland, FL 33815

Phone

(863) 683-5567

Fax

(863) 686-5814

NPI assigned

Feb 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wendell O Blake, M.D.

Title

President

Phone

(863) 683-5567

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1083936058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MARTIN LUTHER KING JR AVE",
            "address_2": "STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33815",
            "telephone_number": "863-683-5567",
            "fax_number": "863-686-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MARTIN LUTHER KING JR AVE",
            "address_2": "STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33815",
            "telephone_number": "863-683-5567",
            "fax_number": "863-686-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE AND FRANKLIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-683-5567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 0016779",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0030612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Black, MASSAGE THERAPIST
• Evelyn J Black, PTA
• Robert Alexander Blackburn, D.C.
• Bruce Blain
• Marion Blain
• Stacie Blalock
• Stephane Blanc, FNP
• Alberto Blanco Nunez
• Logan Blankenship, MD
• Alejandro Blay Martinez

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.