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Organization
LUIS MANUEL BLANCO FNP-C LLC
Active
Organization
LUIS MANUEL BLANCO FNP-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS BLANCO APRN (PRESIDENT)
(305) 720-9730
Entity
Organization
Contact information
Practice address
2979 SW 134TH AVE, MIRAMAR, FL 33027-3915
(305) 720-9730
Mailing address
2979 SW 134TH AVE, MIRAMAR, FL 33027-3915
(305) 720-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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