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
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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