DR. Danice Blaise, MD,MBA
NPI #1255829966 in Lake Wales, Florida
Provider Information
- NPI Number
- 1255829966
- Entity Type
- Individual
- Name
- DR. Danice Blaise, MD,MBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Practice
- Credential
- MD,MBA
- Enumeration Date
- Apr 27, 2018
- Last Updated
- Dec 7, 2024
Practice Location
- Address
- 684 STATE ROAD 60 W
- City
- Lake Wales
- State
- Florida
- ZIP Code
- 33853-4419
- Phone
- (863) 949-4868
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Internal Medicine |
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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Organizations
| Provider Name | |
|---|---|
| American Care of North Florida, Inc. |
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