IndividualActive
Blaze Emerson, DO
NPI 1568987014 · Orthopaedic Surgery of the Spine Physician · Port St Lucie, FL
Provider details
- NPI number
- 1568987014
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS19620 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7710 S US Highway 1
Port St Lucie, FL 34952-2320
Phone: (772) 335-5300
Fax: (772) 200-2131
Approximate (ZIP-level) locationGet directions
Mailing address
7710 S US Highway 1
Port St Lucie, FL 34952-2320
Additional practice locations (1)
- 2221 Se Ocean Blvd Ste 200Stuart, FL 34996-3341Phone: (772) 283-5500Fax: (772) 200-2131
Registry dates
- Enumerated
- 2017-08-06
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.