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DR. KENNETH BLAZE D.O.
NPI 1295761286
Internal Medicine in Pembroke Pines, FL

Active since June 23, 2006
3 SW 129TH AVENUE, SUITE 101, PEMBROKE PINES, FL 33027(954) 433-4200(954) 433-7710 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Blaze D.o. NPPES

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

DR. KENNETH BLAZE D.O. (NPI 1295761286) is an individual internal medicine provider in Pembroke Pines, Florida, licensed in Florida (OS001666) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1295761286
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH BLAZECredential: D.O.
Location Address3 SW 129TH AVENUE, SUITE 101Pembroke Pines, FL 33027-1778
Mailing Address7800 W Oakland Park Blvd, Suite E-214Sunrise, FL 33351-6741 · (954) 318-6590 · Fax (954) 318-6604
Phone(954) 433-4200
Fax(954) 433-7710
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateApril 25, 2014
✔ NPI 1295761286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS001666
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3 SW 129TH AVENUE, Pembroke Pines, FL 33027
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Other Identifiers 3

Medicare ID-Type Unspecified81644AFL
Medicare UPINE03241FL
Medicaid251372200FL

Other Providers at the Same Location NPPES

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

DR. BEATRICE GRUMBERG M.D.
Internal Medicine
3 SW 129TH AVENUE, SUITE 101
PEMBROKE PINES, FL 33027
Broward County (954) 433-4200

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 Kenneth Blaze's NPI number?

The NPI number for Kenneth Blaze is 1295761286. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Kenneth Blaze located?

Kenneth Blaze practices at 3 SW 129th Avenue Suite 101, Pembroke Pines, FL 33027. The listed phone number is (954) 433-4200.

What is Kenneth Blaze's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Blaze was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.