Search › Florida › 208D00000X
Danice Blaise, MD,MBA
NPI 1255829966 · on the registry since 2018 · sole proprietor
Practice
- Address
- 684 State Road 60 W
Lake Wales, FL 33853 - Phone
- (863) 949-4868
- Fax
- (863) 223-8549
- Organisation at this address
- Medical Home Alliance Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 571 Avenue K Se, Winter Haven, FL
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 207R00000X
363A00000X
363A00000X
390200000X - Licence states on file
- FL, NH, MO, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida