Individual
JAVIER DIAZ BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W COCOA BEACH CSWY, CENTER FOR NEONATAL CARE, COCOA BEACH, FL 32931-3585
(407) 303-2528
(407) 303-2509
Mailing address
2501 N ORANGE AVE STE 446, ORLANDO, FL 32804-4644
(407) 303-2528
(407) 303-2509
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME42915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042038700
—
FL
Enumeration date
06/24/2006
Last updated
11/28/2016
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