Individual
MS. DANA BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10150 HAGEN RANCH RD STE 100, BOYNTON BEACH, FL 33437-3776
(305) 558-3724
(786) 907-4485
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA003475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290633300
—
FL
01
—
PA003475
PA LICENSE
FL
Enumeration date
12/14/2006
Last updated
09/18/2023
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