| Sharon A Blake, | |
|
606 S 9th St, Leesburg, FL 34748-6320 | |
| (352) 805-4404 | |
| Not Available |
| Full Name | Sharon A Blake |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 606 S 9th St, Leesburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275182941 | NPI | - | NPPES |
| 14535847 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT10709 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon A Blake, 2980 W Beaumont Ln, Eustis, FL 32726-2071 Ph: (773) 837-2921 | Sharon A Blake, 606 S 9th St, Leesburg, FL 34748-6320 Ph: (352) 805-4404 |
Mr. Brian Lewis Mundy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26540 Ace Ave, Ste B, Leesburg, FL 34748 Phone: 352-314-9810 Fax: 352-314-9878 | |
Reese Buckhalter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 W North Blvd Ste D, Leesburg, FL 34748 Phone: 352-728-6636 | |
Travis Ammons, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Lake St, Leesburg, FL 34748 Phone: 352-314-9300 Fax: 352-787-4977 | |
Mr. Jesrael T Rodriguez Sr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Lake Port Blvd, Leesburg, FL 34748 Phone: 352-728-3366 | |
Karen Palma Lumpay, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Lake Port Blvd, Leesburg, FL 34748 Phone: 352-728-3366 | |
Ms. Tammie Lynn Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 W North Blvd, Suite D, Leesburg, FL 34748 Phone: 352-787-9300 Fax: 352-787-4522 | |
Kathy Riherd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 W North Blvd, Suite D, Leesburg, FL 34748 Phone: 352-787-9300 |