Doctor profile · Federal record
Dr. Kenneth Blaze, D.O.
Internal Medicine Physician · Pembroke Pines, FL
- NPI 1295761286
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3 Sw 129Th Avenue, Suite 101
Pembroke Pines, FL 330271778
(954) 433-4200
fax (954) 433-7710 - Mailing address
-
7800 W Oakland Park Blvd, Suite E-214
Sunrise, FL 333516741
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- April 25, 2014
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Florida #OS001666
- Medicaid
- FL #251372200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295761286. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$476
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 2 | $250.55 | |
| Ardelyx, INC. | 1 | $124.99 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $100.00 |
By nature of payment
Frequently asked questions
What is Dr. Kenneth Blaze's medical specialty?
Dr. Kenneth Blaze practices Internal Medicine Physician in Pembroke Pines, FL.
Where does Dr. Kenneth Blaze practice?
Dr. Kenneth Blaze practices at 3 Sw 129Th Avenue, Pembroke Pines, FL 330271778. Office phone: 9544334200.
What is Dr. Kenneth Blaze's NPI?
Dr. Kenneth Blaze's National Provider Identifier (NPI) is 1295761286, issued by NPPES.