Individual
MARLON BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6517 TAFT ST, HOLLYWOOD, FL 33024-4062
(305) 282-4063
Mailing address
900 SW 104TH CT, B103, MIAMI, FL 33174-2660
(305) 282-4063
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9250137
FL
Other
Enumeration date
10/16/2012
Last updated
02/10/2026
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