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JEFFREY W BLAKE MD
NPI 1164431185
Internal Medicine - Cardiovascular Disease in Fernandina Beach, FL

Active since August 07, 2006
1620 NECTARINE ST, FERNANDINA BEACH, FL 32034(904) 548-1860(904) 277-7283 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey W Blake Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY W BLAKE MD (NPI 1164431185) is an individual cardiovascular disease provider in Fernandina Beach, Florida, licensed in Florida (LL478) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164431185
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJEFFREY W BLAKECredential: MD
Location Address1620 NECTARINE STFernandina Beach, FL 32034-4724
Mailing AddressPo Box 517Fernandina Beach, FL 32035-0517 · (904) 548-1800 · Fax (904) 277-7286
Phone(904) 548-1860
Fax(904) 277-7283
Sole ProprietorYes
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164431185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · LL478
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1620 NECTARINE ST, Fernandina Beach, FL 32034
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Other Identifiers 2

Medicare UPINC07193FL
Medicare ID-Type UnspecifiedE1353ZFL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY GAYLE GEIB ARNP
Nurse Practitioner (Adult Health)
1620 NECTARINE ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 548-1860
SHERRY SUE LINBACK ARNP
Nurse Practitioner (Pediatrics)
1620 NECTARINE ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 548-1860
KARELYN E LOTZ
Contractor
1620 NECTARINE ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 548-1860
WILLIAM EDWARD HANSBERRY MD
Pediatrics
1620 NECTARINE ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 548-1860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Blake's NPI number?

The NPI number for Jeffrey Blake is 1164431185. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Jeffrey Blake located?

Jeffrey Blake practices at 1620 Nectarine St, Fernandina Beach, FL 32034. The listed phone number is (904) 548-1860.

What is Jeffrey Blake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.