Individual
EDUARDO R GONZALEZ-BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 12TH ST, SUITE 108, KEY WEST, FL 33040-4088
(305) 294-5576
(305) 294-8182
Mailing address
1111 12TH ST, SUITE 108, KEY WEST, FL 33040-4088
(305) 294-5576
(305) 294-8182
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME45502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME45502
MEDICAL LICENSE
FL
Enumeration date
12/06/2006
Last updated
03/07/2023
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