THOMAS B BLAKE III MD
NPI 1508873787
Specialist in Maitland, FL

Active since August 01, 2006
331 N MAITLAND AVE, SUITE A-2, MAITLAND, FL 32751(407) 629-5141(407) 629-5858 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas B Blake Iii Md NPPES

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

THOMAS B BLAKE III MD (NPI 1508873787) is an individual specialist in Maitland, Florida, licensed in Florida (ME65263) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1508873787
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTHOMAS B BLAKE IIICredential: MD
Location Address331 N MAITLAND AVE, SUITE A-2Maitland, FL 32751-4762
Mailing Address331 N Maitland Ave, Suite A-2Maitland, FL 32751-4762 · (407) 629-5141 · Fax (407) 629-5858
Fax(407) 629-5858
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJanuary 3, 2011
NPI 1508873787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in FL · ME65263 Licensed in GA · 033032
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
331 N MAITLAND AVE, Maitland, FL 32751

Other Identifiers 3

Medicare UPINF88589
Medicare ID-Type Unspecified25600
Medicare PIN25600ZFL

Other Providers at the Same Location NPPES 9

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

Dermatology
331 N MAITLAND AVE, BUILDING A SUITE 5
MAITLAND, FL 32751
Internal Medicine
331 N MAITLAND AVE, SUITE C-1
MAITLAND, FL 32751
Ophthalmology
331 N MAITLAND AVE, STE B2
MAITLAND, FL 32751
Speech-Language Pathologist
331 N MAITLAND AVE, SUITE A-3
MAITLAND, FL 32751
Specialist
331 N MAITLAND AVE, STE B2
MAITLAND, FL 32751
Colon & Rectal Surgery
331 N MAITLAND AVE, STE A-2
MAITLAND, FL 32751
Specialist
331 N MAITLAND AVE, STE B2
MAITLAND, FL 32751
Internal Medicine (Pulmonary Disease)
331 N MAITLAND AVE, STE C 1
MAITLAND, FL 32751

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 Thomas Blake's NPI number?

The NPI number for Thomas Blake is 1508873787. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Thomas Blake located?

Thomas Blake practices at 331 N Maitland Ave Suite A-2, Maitland, FL 32751. The listed phone number is (407) 629-5141.

What is Thomas Blake's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Thomas Blake was last updated on January 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.