Blake And Franklin Md Pa

NPI 1083936058 - General Practice - 208D00000X

NPI Details
NPI 1083936058
Enumeration Date 02/18/2010
Last Updated 08/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WENDELL O WENDELL
Position PRESIDENT
Phone (863) 683-5567
Fax (863) 686-5814
Practice Location
505 MARTIN LUTHER KING JR AVE
STE 2
LAKELAND FL, 33815, US
Phone (863) 683-5567
Fax (863) 686-5814
Business Location
505 MARTIN LUTHER KING JR AVE
STE 2
LAKELAND FL, 33815, US
Phone (863) 683-5567
Fax (863) 686-5814
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number ME 0016779
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According to our database, Blake And Franklin Md Pa NPI is 1083936058, taxonomy code is 208D00000X and license number is ME 0016779, license state is located at Florida. Blake And Franklin Md Pa physically located at 505 Martin Luther King Jr Ave, Lakeland FL, 33815. NPI Number 1033115704 has the healthcare provider type.

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1083936058 NPI number is provided on an as is basis without warranty of any kind. 1083936058 is maintained by the National Plan & Provider Enumeration System. The contents of Blake And Franklin Md Pa are for informational purposes only.