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Emily A Blake

Sports Medicine

2627 Riverside Ave Fl 3
Jacksonville , Florida 32204-4712

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Emily A Blake

Sports Medicine

2627 Riverside Ave Fl 3
Jacksonville , Florida 32204-4712

(904) 634-0203

Write a Review Save Call

Emily A Blake

Sports Medicine

2627 Riverside Ave Fl 3
Jacksonville , Florida 32204-4712

(904) 634-0203 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

2627 Riverside Ave Fl 3 Jacksonville , Florida 32204-4712

First Address

  • Emily A Blake
  • 6500 Bowden Rd Ste 103
  • Jacksonville, FL
  • Zip : 32216-8066
  • Fax : (904) 634-0203
  • Phone : (904) 634-0640

Second Address

  • Emily A Blake
  • 2627 Riverside Ave Fl 3
  • Jacksonville, FL
  • Zip : 32204-4712
  • Fax : (904) 634-0203
  • Phone : (904) 634-0640

Reviews

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FAQs


Where did Emily A Blake attend graduate school?

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Where did Emily A Blake do her residency?

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Where did Emily A Blake do her fellowship?

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Is Emily A Blake board certified?

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What type of doctor is Emily A Blake

Sports Medicine

In what state does Emily A Blake practice in?

Florida

Where is Emily A Blake ’s practice located?

2627 Riverside Ave Fl 3 , Jacksonville, Florida, 32204-4712

What is Emily A Blake ’s gender?

Female

Is Emily A Blake a sole practitioner?

No

Is Emily A Blake accepting new patients?

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What languages does Emily A Blake speak?

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Does Emily A Blake accept insurance?

Yes, Emily A Blake accepts insurance

Does Emily A Blake offers telemedicine?

Emily A Blake has not indicated if she offers telemedicine

What is Emily A Blake ’s professional license number?

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What is Emily A Blake ’s NPI number?

1376903039

Does Emily A Blake have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine PTA24202 FL
Y 213ES0000X Sports Medicine PTA24202 FL

National Provider Identifier

NPI 1376903039
Provider Name Emily A Blake
First Address Jacksonville, FL 32216-8066
Second Address Jacksonville, FL 32204-4712
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/02/2016
Last Update Date 26/09/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
PT24202 STATE LICENSE (01) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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