Blake Mireles, MD, MSC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

43612 Issued in FL

Practice address

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

Phone

(407) 576-8068

NPI assigned

Jun 23, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bmireles5213174@adventhealth.direct-ci.com

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1417844176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 ALPERT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103603",
            "telephone_number": "915-479-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044659",
            "telephone_number": "407-576-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "43612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette L Mirande, APRN
• Marie Ann Mirander, MD
• Mirben Speech Language Company LLC
• Mirben Speech Language Company LLC
• Jessica Miree
• Nina Mirhabibi, CFNC, FNLP
• Erica Mirigliani, D.O.
• Chelimer Miro Rivera, MHC
• Patrick Mirocha, ATC
• Tatyana Stanislavovna Miroshnikova, M.D.

• Student in an Organized Health Care Education/Training Program in Orlando, FL
• Providers in Orlando, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.