Organization
ANTONIO E. BLANCO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO E BLANCO M.D. (PHYSICIAN)
(305) 279-3955
Entity
Organization
Contact information
Practice address
30334 OLD DIXIE HWY, HOMESTEAD, FL 33033-3215
(305) 271-7660
(305) 271-7599
Mailing address
30334 OLD DIXIE HWY, HOMESTEAD, FL 33033-3215
(786) 243-0149
(786) 243-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0057421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257737201
—
FL
Enumeration date
10/04/2006
Last updated
06/13/2013
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