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Search › Florida › 390200000X

Blake Shaffer, MD

NPI 1235510140 · on the registry since 2015

Practice

Address
307 Boatner Rd Ste 114
Eglin Afb, FL 32542
Phone
(850) 883-8600
Organisation at this address
96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
503

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
207R00000X
Licence states on file
PA, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida