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MR. OMAR L BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2750 SW 37TH AVE, MIAMI, FL 33133-2764
(305) 642-4263
(305) 426-3329
Mailing address
2750 SW 37TH AVE, MIAMI, FL 33133-2764
(305) 642-4263
(305) 426-3329

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9000004
FL

Other

Enumeration date
05/17/2006
Last updated
09/09/2014
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