# VNL MEDICAL ASSOCIATION CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386694875
- **Authorized official:** MR. CARLOS BLANCO (PRESIDENT)
- **Authorized official phone:** (305) 262-1128

## Contact information

- **Practice address:** 237 NW 12TH AVE, SUITE A-E, MIAMI, FL 33128-1080
- **Practice address phone:** (305) 324-0211
- **Mailing address:** 1705 SW 83RD CT, MIAMI, FL 33155-1156
- **Mailing address phone:** (305) 262-1128
- **Mailing address fax:** (305) 262-6935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 08/22/2020