IndividualActive
Tate Blankespoor, MD
NPI 1720915622 · Military Health Care Provider · Jacksonville, FL
Provider details
- NPI number
- 1720915622
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone: (904) 542-7606
Approximate (ZIP-level) locationGet directions
Mailing address
1922 210th St
Inwood, IA 51240-7734
Registry dates
- Enumerated
- 2026-05-05
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.