MEDICARE: KENYA ALICIA BLAKE

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	363LF0000X	Family Nurse Practitioner	APRN11044595	FL
2	363L00000X	Nurse Practitioner	11044595	FL

General Provider Information

NPI Number	:	1144187030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYA ALICIA BLAKE

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	833-702-8383
Fax Number	:	689-304-0303

Provider Business Practice Location Address
First Line	:	1037 S STATE ROAD 7 STE 113
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6139
Country	:	US
Telephone Number	:	561-798-3030
Fax Number	:	833-450-4577

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	05/01/2026

Similar Medicare Providers

1104761121 — HIBISCUS HEALTH CONCEPTS LLC
Practice Location Address:

1037 S STATE ROAD 7 STE 115
WELLINGTON, FL
33414-6139

Practice Phone: 561-601-1123
Practice Fax:

1932045812 — VITALITY BY DR BAGO LLC
Practice Location Address:

1037 S STATE ROAD 7 STE 115
WELLINGTON, FL
33414-6139

Practice Phone: 561-798-8300
Practice Fax:

1275539447 — MR. MOHAMED HASHIM GAJRAJ MD
Practice Location Address:

1037 S STATE ROAD 7 STE 211
WELLINGTON, FL
33414-6139

Practice Phone: 561-798-3030
Practice Fax: 561-798-8242

1316929995 — DR. VINCENT M APICELLA DO
Practice Location Address:

1037 S STATE ROAD 7 STE 111
WELLINGTON, FL
33414-6139

Practice Phone: 561-798-3030
Practice Fax: 561-798-8242

1780657486 — DR. ROBIN GAIL SCHUGAR DHSC, PA-C
Practice Location Address:

1037 S STATE ROAD 7 STE 211
WELLINGTON, FL
33414-6139

Practice Phone: 561-798-3030
Practice Fax: 833-450-4575

1447294541 — MS. LISA DAWN MCKENZIE APRN
Practice Location Address:

1037 S STATE ROAD 7 STE 211
WELLINGTON, FL
33414-6139

Practice Phone: 561-798-3030
Practice Fax: 561-798-8242

Directions to “ KENYA ALICIA BLAKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.