Individual
DR. BLAISE MITCHELL DELMONACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3413 S KINGS AVE, SUITE 100, BRANDON, FL 33511-7780
(813) 684-8489
Mailing address
3413 S KINGS AVE, SUITE 100, BRANDON, FL 33511-7780
(813) 684-8489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381361400
—
FL
Enumeration date
09/22/2006
Last updated
06/03/2011
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