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NPI Code Detail

MEDICARE: CASSANN NATACHA BLAKE MD

MEDICARE: CASSANN NATACHA BLAKE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianME104485FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376580860
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANN NATACHA BLAKE MD
Provider Business Mailing Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-659-5232
Fax Number : 954-659-5233
Provider Business Practice Location Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-659-5232
Fax Number : 954-659-5233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 04/06/2026

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Directions to “ CASSANN NATACHA BLAKE MD” Practice Location

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