Individual
CHRISTOPHER SC BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1435 W 49TH PL, HIALEAH, FL 33012-3197
(305) 558-2500
Mailing address
1435 W 49TH PL, HIALEAH, FL 33012-3197
(305) 558-2500
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS22496
FL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
UO9508
FL
Other
Enumeration date
01/18/2011
Last updated
04/22/2026
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