DR. BLAKE MIRELES MD, MSC
NPI 1417844176
Student in an Organized Health Care Education/Training Program in Orlando, FL

Q: What is Blake Mireles's NPI number?

The NPI number for Blake Mireles is 1417844176. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Q: What is Blake Mireles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Mireles was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 23, 2025PECOS Enrolled

2501 N ORANGE AVE STE 235, ORLANDO, FL 32804(407) 576-8068 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Blake Mireles Md, Msc NPPES

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

DR. BLAKE MIRELES MD, MSC (NPI 1417844176) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (43612) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417844176

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BLAKE MIRELESCredential: MD, MSC

Location Address2501 N ORANGE AVE STE 235Orlando, FL 32804-4659

Mailing Address6903 Alpert DrOrlando, FL 32810-3603 · (915) 479-2167

Phone(407) 576-8068

Sole ProprietorYes

Enumeration DateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1417844176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · 43612

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2501 N ORANGE AVE STE 235, Orlando, FL 32804

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Mireles Md, Msc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. LIAM DEVANE MD

Student in an Organized Health Care Education/Training Program