Ms Jennifer Lynn Blake, SPEECH LANGUAGE PATH is a
Speech-language Pathologist based in Ft. Lauderdale, Florida. Ms Jennifer Lynn Blake is licensed to practice in Florida (license number SA 5267) and her current practice location is
3161 Sw 50th St, Ft. Lauderdale, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 894-9023.
NPI number for Ms Jennifer Lynn Blake is 1508198078 and her current mailing address is 3161 Sw 50th St, Ft Lauderdale, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508198078.
Healthcare Provider's Profile
Full Name | Ms Jennifer Lynn Blake |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 3161 Sw 50th St, Ft. Lauderdale, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508198078
- Provider Enumeration Date: 02/08/2010
- Last Update Date: 02/08/2010
Medical Identifiers
Medical identifiers for Ms Jennifer Lynn Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508198078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA 5267 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Lynn Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jennifer Lynn Blake, SPEECH LANGUAGE PATH 3161 Sw 50th St, Ft Lauderdale, FL 33312-6982 Ph: () - | Ms Jennifer Lynn Blake, SPEECH LANGUAGE PATH 3161 Sw 50th St, Ft. Lauderdale, FL 33312 Ph: (954) 894-9023 |
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