# GARY H DIBLASIO M D P A

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

## Provider details

- **NPI number:** 1538473053
- **Authorized official:** GARY HENRY DIBLASIO M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (561) 684-6565

## Contact information

- **Practice address:** 5500 VILLAGE BLVD, STE 101, WEST PALM BEACH, FL 33407-1961
- **Practice address phone:** (561) 684-6565
- **Practice address fax:** (561) 684-3467
- **Mailing address:** 5500 VILLAGE BLVD, STE 101, WEST PALM BEACH, FL 33407-1961
- **Mailing address phone:** (561) 684-6565
- **Mailing address fax:** (561) 684-3467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME74052 | FL | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/28/2010