BLAKE RICHARD SHAFFER MD
NPI 1235510140
Student in an Organized Health Care Education/Training Program in Eglin Afb, FL
About Blake Richard Shaffer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE RICHARD SHAFFER MD (NPI 1235510140) is an individual student in an organized health care education/training program in Eglin Afb, Florida, licensed in Virginia (0101261224) and active in the NPI registry since June 2015.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blake Shaffer's NPI number?
The NPI number for Blake Shaffer is 1235510140. It was assigned to this individual provider in the NPPES registry on June 16, 2015.
Where is Blake Shaffer located?
Blake Shaffer practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.
What is Blake Shaffer's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Blake Shaffer was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Blake Richard Shaffer, MD · NPI 1235510140
Student in an Organized Health Care Education/Training Program provider in Eglin Afb, Florida. Individual provider, active in the CMS NPPES registry since June 16, 2015.
## Identity
- **NPI:** 1235510140 (Entity type: Individual)
- **Enumerated:** June 16, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 0101261224 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 BOATNER RD STE 114, Eglin Afb, FL 32542-1302
- **Phone:** (850) 883-8600
## Record status
- **NPPES last updated:** June 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235510140) · Data from the CMS NPPES public registry.