Mosi Blake, L/ATC

NPI 1336656263 · on the registry since 2017 · sole proprietor

Practice

Address: 305 E Brandon Blvd
Brandon, FL 33511
Phone: (813) 978-9700
Fax: (813) 558-6187
Organisation at this address: Tampa Bay Emergency Physicians Llc
Adventhealth West Florida Imaging, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-04-22

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