Individual
DEBORAH J BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13947 BEACH BLVD STE 202, JACKSONVILLE, FL 32224-1200
(904) 223-1771
Mailing address
101 N MILL RIDGE TRL, PONTE VEDRA BEACH, FL 32082-5112
(904) 543-1991
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
ME45016
FL
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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