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

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1295761286. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
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

Food and Beverage
$476