Individual
DR. CHRISTOPHER JOHN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
701 NW 57TH AVE, 320, MIAMI, FL 33126-2072
(305) 264-2632
(305) 266-2274
Mailing address
8053 NW 114TH PATH, MEDLEY, FL 33178-2510
(786) 953-4466
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204445857
CIGNA
TN
01
—
2700492
UNITED HEALTH CARE
FL
01
—
313984
AVMED
FL
05
—
340554100
—
FL
01
—
65926
BLUECROSS BLUE SHIELDS
FL
01
—
7060825
AETNA
FL
Enumeration date
01/31/2006
Last updated
02/17/2010
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