ROBERT F BLAKE MMS, PA-C
NPI 1780772749
Physician Assistant - Surgical in Wellington, FL

Q: What is Robert Blake's NPI number?

The NPI number for Robert Blake is 1780772749. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Robert Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Robert Blake was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 11, 2006PECOS Enrolled

1447 MEDICAL PARK BLVD, SUITE #101, WELLINGTON, FL 33414(561) 844-0120(561) 800-1074 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Robert F Blake Mms, Pa-c NPPES

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

ROBERT F BLAKE MMS, PA-C (NPI 1780772749) is an individual surgical provider in Wellington, Florida, licensed in Florida (PA9103551) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780772749

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameROBERT F BLAKECredential: MMS, PA-C

Location Address1447 MEDICAL PARK BLVD, SUITE #101Wellington, FL 33414-3164

Mailing Address1447 Medical Park Blvd, Suite #101Wellington, FL 33414-3164 · (561) 844-0120 · Fax (561) 800-1074

Phone(561) 844-0120

Fax(561) 800-1074

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateFebruary 22, 2012

✔ NPI 1780772749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9103551

1447 MEDICAL PARK BLVD, Wellington, FL 33414

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Other Identifiers 1

Medicare PINAC217ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert F Blake Mms, Pa-c 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.

JULIE PASS MD

Obstetrics & Gynecology

1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414

Palm Beach County (561) 790-5990

MELISSA E CARLSON MD

Obstetrics & Gynecology

1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414

Palm Beach County (561) 790-5990

CHILDRENS ENDOCRINE & DIABETES CARE INC

Pediatrics (Pediatric Endocrinology)

1447 MEDICAL PARK BLVD, STE 104
WELLINGTON, FL 33414

Palm Beach County (561) 792-1525

DEBRA B BALLIRAM MANOHALAL D.O.

Obstetrics & Gynecology

1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414

Palm Beach County (561) 790-5990

DR. EMILIO BUENAVENTURA TORRES MD

Obstetrics & Gynecology

1447 MEDICAL PARK BLVD, SUITE 202
WELLINGTON, FL 33414

Palm Beach County (561) 204-1449

OBGYN SPECIALISTS OF THE PALM BEACHES PA

Obstetrics & Gynecology

1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414

Palm Beach County (561) 790-5990

FLORIDA INTERVENTIONAL PAIN MANAGEMENT LLC

Pain Medicine (Interventional Pain Medicine)

1447 MEDICAL PARK BLVD, 209
WELLINGTON, FL 33414

Palm Beach County (561) 537-4817

MEDICAL PARK SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414

Palm Beach County (561) 790-5990

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 Robert Blake's NPI number?

The NPI number for Robert Blake is 1780772749. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Robert Blake located?

Robert Blake practices at 1447 Medical Park Blvd Suite #101, Wellington, FL 33414. The listed phone number is (561) 844-0120.

What is Robert Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Robert Blake enrolled in Medicare?

Yes. Robert Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Blake was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.