Male or Other

Blake Whitmarsh PA

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Blake Whitmarsh PA

NPI Number

1871119438

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/19/2020

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida
New York
New York

License Number

PA9115808
025073
25073

Contact
Information

Purpose

Mailing
Location

Address

655 W 8TH ST
655 W 8TH ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32209-6511
32209-6511

Country

US
US

Telephone Number

(386) 624-1913
(386) 624-1913

Health Information Exchange

Endpoint Type

DIRECT
DIRECT

Endpoint

bwhitmarsh212501@direct.urmc.rochester.edu
bwhitmarsh212501@direct.urmc.rochester.edu

Endpoint Description

Unknown
Unknown

Use

Direct
Direct

Content Type

Other

Other Description:
OTHER

Other

Other Description:
OTHER

Affiliation

N
N

Endpoint Location

601 Elmwood AveRochester, NY146420001US
601 Elmwood AveRochester, NY146420001US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/03/2023

Provider Address

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