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Search › Florida › 225100000X

Blake Green

NPI 1326925629 · on the registry since 2025

Practice

Address
1536 N Jefferson St
Jacksonville, FL 32209
Phone
(229) 726-5303
Organisation at this address
Gainesville Vamc
Gainesville Vamc
Department Of Veteran Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
146

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-19

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