{"npi":"1164469151","type":"NPI-2","status":"active","name":{"display":"George Blake M.D., P.A.","other":[],"organization_name":"GEORGE BLAKE M.D., P.A.","authorised_official":"George Blake"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"FL","license":"ME66396"}]},"addresses":[{"purpose":"LOCATION","street_1":"605 S FREMONT AVE","city":"TAMPA","state":"FL","postal_code":"336062479","country_code":"US","street_2":"SUITE A","phone":"8132510209","fax":"8132580600"},{"purpose":"MAILING","street_1":"605 S FREMONT AVE","city":"TAMPA","state":"FL","postal_code":"336062479","country_code":"US","street_2":"SUITE A","phone":"8132510209","fax":"8132580600"}],"license":{"state":"FL","number":"ME66396"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"379713900","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100713000465","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"6507878642"}]},"enumeration_date":"2006-05-31","last_updated":"2012-01-13","_meta":{"source":"NPPES","snapshot_date":"2012-01-13","doc_url":"https://findmynpi.com/api"}}