MEDICARE: MRS. LISA CURZIO-BLAKE M.A.

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	174400000X	Specialist

Other Identifiers

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

General Provider Information

NPI Number	:	1841522992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA CURZIO-BLAKE M.A.

Provider Business Mailing Address
First Line	:	335 11TH AVE NE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-1925
Country	:	US
Telephone Number	:	727-686-7052
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 11TH AVE NE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-1925
Country	:	US
Telephone Number	:	727-686-7052
Fax Number	:

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

Provider Enumeration Date	:	01/30/2010
Last Update Date	:	01/30/2010

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