IndividualActive
Emily Blake
NPI 1376903039 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Jacksonville, FL
Provider details
- NPI number
- 1376903039
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- PTA24202 (FL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense PTA24202 (FL)
Allopathic & Osteopathic Physicians
Practice location
2627 Riverside Ave Fl 3
Jacksonville, FL 32204-4712
Phone: (904) 634-0640
Fax: (904) 634-0203
Approximate (ZIP-level) locationGet directions
Mailing address
6500 Bowden Rd Ste 103
Jacksonville, FL 32216-8066
Additional practice locations (1)
- 1835 Eastwest PkwySuite 16Orange Park, FL 32003-6336Phone: (904) 215-3958Fax: (904) 215-3970
Registry dates
- Enumerated
- 2016-02-24
- Last updated
- 2018-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.