Wendell O Blake MD PA
NPI 1700213972 · General Practice Physician · Lakeland, FL
Wendell O Blake MD PA is a General Practice Physician organization in Lakeland, FL (NPI 1700213972).
Provider details
- NPI number
- 1700213972
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendell Blake, President(863) 683-5567
- License
- ME0016779 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2013-10-03
Frequently asked questions
- What is Wendell O Blake MD PA's NPI number?
- Wendell O Blake MD PA's National Provider Identifier (NPI) is 1700213972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wendell O Blake MD PA?
- Wendell O Blake MD PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Wendell O Blake MD PA located?
- Wendell O Blake MD PA's practice location on file with NPPES is 505 Martin Luther King Jr Avenue, Lakeland, FL 33815-1527.
- What is Wendell O Blake MD PA's phone number?
- The practice phone number listed in the NPPES registry for Wendell O Blake MD PA is (863) 683-5567.
- Who is the authorized official for Wendell O Blake MD PA?
- The authorized official listed on Wendell O Blake MD PA's NPPES record is Wendell Blake, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wendell O Blake MD PA's NPI active?
- Yes — Wendell O Blake MD PA's NPI (1700213972) is active in the NPPES registry as of the last update on 2013-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.