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Contact Information

MATTHEW J BLAKEMORE, PA
6150 DIAMOND CENTRE CT STE 1300
FORT MYERS, FL33912-4367
 Phone: 239-344-9786
 Fax: 239-344-9215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW J BLAKEMORE · (Male)

NPI Number 1134653827
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/19/2017
Last updated 05/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9110051
Hospital affiliation(s)
  • MEMORIAL HOSPITAL PEMBROKE - (Acute Care)
    7800 SHERIDAN ST
    PEMBROKE PINES, FL 33024
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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