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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Perth Agusta Blake, M.D.

Family Medicine Physician in Tavares, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063505105

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Registry record

Entity type Individual (Type 1)
Name Dr. Perth Agusta Blake
Credential M.D.
Sex Male
Practice address Tavares, FL, 32778
Phone (352) 508-5046
Fax (352) 508-5048
Enumeration date Oct 2, 2006
Last updated in NPPES Mar 16, 2012

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME0069890 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
31711Y Other FL MEDICARE ID
255623500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Perth Blake practice?
The practice location on file with NPPES is in Tavares, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Perth Blake?
The National Provider Identifier (NPI) for Perth Blake is 1063505105, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-16.