# SLB MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1710305529
- **Authorized official:** SANDRA BLANKENSHIP CPM (CEO)
- **Authorized official phone:** (772) 324-0833

## Contact information

- **Practice address:** 1008 NE GREEN LAWN DR, JENSEN BEACH, FL 34957-6016
- **Practice address phone:** (772) 261-8685
- **Practice address fax:** (772) 209-7667
- **Mailing address:** 1008 NE GREEN LAWN DR, JENSEN BEACH, FL 34957-6016
- **Mailing address phone:** (772) 261-8685
- **Mailing address fax:** (772) 209-7667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2014
- **Last updated:** 03/31/2014