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Blake Estape, Dipl. O.M., L.Ac.

Acupuncturist in Palmetto Bay, FL. Individual provider (NPI-1).

NPI number1780241521
StatusActive
Last updated in NPPESMay 28, 2019

Details

NPI
1780241521
Entity type
Individual (NPI-1)
Name
Mr. Blake Estape
Credential
Dipl. O.M., L.Ac.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 28, 2019
Last updated
May 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAP4049FLYes

Practice location

5848 Paradise Point Dr
Palmetto Bay, FL 33157-2646

Phone 786-606-3476

Mailing address

5848 Paradise Point Dr
Palmetto Bay, FL 33157-2646

Phone 786-606-3476

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