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Organization
BLAISE PODIATRY
Active
Organization
BLAISE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER BLAISE DPM (OWNER)
(305) 761-1262
Entity
Organization
Contact information
Practice address
3500 NW 17TH AVE, MIAMI, FL 33142-5540
(305) 761-1262
(305) 675-8164
Mailing address
9640 NW 10TH CT, PLANTATION, FL 33322-4851
(305) 424-9301
(305) 424-9301
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3526
FL
Other
Enumeration date
07/12/2013
Last updated
01/22/2019
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