Blake Homes LLC
Organization Active NPI Developmental Disabilities Clinic/Center · Summerfield, FL
NPI 1467960385 · NPPES record last updated Jan 12, 2018
Key facts
- NPI
- 1467960385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Legal business name
- BLAKE HOMES LLC
- Practice address
- 15085 SE 73Rd Ave
Summerfield, FL 34491-4226 - Phone
- (352) 504-6979
- NPI assigned
- Jan 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Kyle Blake
- Title
- Owner
- Phone
- (352) 504-6979
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | FL | Yes |
Addresses
Primary practice location
15085 SE 73Rd Ave
Summerfield, FL 34491-4226
Mailing address
15085 SE 73Rd Ave
Summerfield, FL 34491-4226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691440 | Other | FL | ATN |
Other providers in Summerfield, FL
- Best Value Healthcare LLC
- Better Body Lifestyle Medical LLC
- Tapas Bhatt
- Akm Alauddin Bhuiyan
- Damian Leon Black
- Yosvel Blanco Sanchez
- Nannette M Boulais
- Roselle Ebcas Brennan
- Gary Paul Brodeur
- Noreen Burch
All providers in Summerfield, FL · Developmental Disabilities Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.