Provider Demographics
NPI:1437941820
Name:BLANKENSHIP, REECE (PA-C)
Entity type:Individual
Prefix:
First Name:REECE
Middle Name:
Last Name:BLANKENSHIP
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3767 NW 23RD DR # 11-104
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5628
Mailing Address - Country:US
Mailing Address - Phone:720-440-4154
Mailing Address - Fax:
Practice Address - Street 1:636 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-2668
Practice Address - Country:US
Practice Address - Phone:239-319-3618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant