MEDICARE: DR. BLAKE CAMERON GARFINKEL DDS

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
1	122300000X	Dentist	29024	FL

General Provider Information

NPI Number	:	1568208007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BLAKE CAMERON GARFINKEL DDS

Provider Business Mailing Address
First Line	:	440 N MONROE ST UNIT 449
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-1349
Country	:	US
Telephone Number	:	321-356-9184
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 TIMBERLANE RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1710
Country	:	US
Telephone Number	:	850-893-2136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	03/04/2026

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