Individual
MRS. MAYDIBIS BLANCO ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 HOLLYWOOD BLVD STE 300, HOLLYWOOD, FL 33021-6469
(786) 380-8375
Mailing address
14460 SW 50TH TER, MIAMI, FL 33175-5038
(786) 380-8375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
11010046
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023208874
FL
Other
Enumeration date
02/24/2021
Last updated
07/18/2025
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