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BLAIQ SERVICES
NPI 1982459434
Physician Assistant - Surgical in Fort Pierce, FL

Active since April 18, 2024
4711 S INDIAN RIVER DR, FORT PIERCE, FL 34982(916) 952-5532 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blaiq Services NPPES

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

BLAIQ SERVICES (NPI 1982459434) is a healthcare organization registered as a surgical in Fort Pierce, Florida and active in the NPI registry since April 2024. The organization lists Justin Duharte, Surgical Assistant Certified, as its authorized official.

NPPES Registry Identity

NPI1982459434
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameBLAIQ SERVICES
Location Address4711 S INDIAN RIVER DRFort Pierce, FL 34982-7769
Mailing Address4711 S Indian River DrFort Pierce, FL 34982-7769 · (916) 952-5532
Phone(916) 952-5532
Organization SubpartNo
Authorized OfficialJustin DuharteSurgical Assistant Certified · (916) 952-5532
Enumeration DateApril 18, 2024
Last NPPES UpdateApril 20, 2024
NPPES CertifiedApril 20, 2024
✔ NPI 1982459434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
4711 S INDIAN RIVER DR, Fort Pierce, FL 34982
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Other Providers at the Same Location NPPES

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

JUSTIN DUHARTE SAC
Physician Assistant (Surgical)
4711 S INDIAN RIVER DR
FORT PIERCE, FL 34982
St. Lucie County (916) 952-5532

Frequently Asked Questions

What is BLAIQ SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1982459434, enumerated as an "organization" on April 18, 2024.

Where is the provider located?

The provider is located at 4711 S INDIAN RIVER DR FORT PIERCE, FL 34982 and the phone number is (916) 952-5532.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.