# R M BLATSTEIN DPM PA

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

## Provider details

- **NPI number:** 1821310988
- **Authorized official:** DR. RUSSELL BLATSTEIN (DPM)
- **Authorized official phone:** (772) 225-3668

## Contact information

- **Practice address:** 1635 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7229
- **Practice address phone:** (772) 225-3668
- **Practice address fax:** (772) 334-4115
- **Mailing address:** 1635 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7229
- **Mailing address phone:** (772) 225-3668
- **Mailing address fax:** (772) 334-4115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | P01563 | FL | Yes |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 01/05/2011