MEDICARE: STELLA BLAKE APRN

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	363L00000X	Nurse Practitioner	11027225	FL

General Provider Information

NPI Number	:	1417719220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA BLAKE APRN

Provider Business Mailing Address
First Line	:	202 S PARKER ST UNIT 645
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2598
Country	:	US
Telephone Number	:	813-476-5541
Fax Number	:

Provider Business Practice Location Address
First Line	:	12952 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2806
Country	:	US
Telephone Number	:	813-968-4300
Fax Number	:

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

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	03/07/2024

Similar Medicare Providers

1750825568 — ROSALY STEPHENS MSN, APRN-C
Practice Location Address:

12932 N DALE MABRY HWY
TAMPA, FL
33618-2806

Practice Phone: 813-510-0770
Practice Fax: 813-605-0041

1861460784 — DR. DENNIS NEIL LINSEY O.D.
Practice Location Address:

12964 N DALE MABRY HWY
TAMPA, FL
33618-2806

Practice Phone: 813-960-8896
Practice Fax: 813-960-3248

1093783920 — DR. GEORGE ALAN LINSEY O.D.
Practice Location Address:

12964 N DALE MABRY HWY
TAMPA, FL
33618-2806

Practice Phone: 813-960-8896
Practice Fax: 813-960-3248

1942345087 — GEORGE LINSEY, O.D.P.A.
Practice Location Address:

12964 N DALE MABRY HWY
TAMPA, FL
33618-2806

Practice Phone: 813-960-8896
Practice Fax: 813-960-3248

1013311703 — KENNETH ARGOTE ARNP
Practice Location Address:

12966 N DALE MABRY HWY
TAMPA, FL
33618-2806

Practice Phone: 813-567-8321
Practice Fax:

1306664040 — CRISTINA GUTIERREZ
Practice Location Address:

12954 N DALE MABRY HWY
TAMPA, FL
33618-2806

Practice Phone: 813-999-1516
Practice Fax:

Directions to “ STELLA BLAKE APRN” 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.