Individual
ANITA T BLENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1150 NW 14TH ST, 6TH FLOOR, MIAMI, FL 33136-2137
(305) 243-6732
(305) 243-8015
Mailing address
1974 NE 178TH ST, NORTH MIAMI BEACH, FL 33162-2208
(305) 947-6273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9101562
FL
Other
Enumeration date
05/03/2007
Last updated
01/21/2012
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