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Individual

CHARLES H BLOTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2512 COCO PLUM BLVD, #1302, BOCA RATON, FL 33496-2055
(248) 672-9325
Mailing address
2512 COCO PLUM BLVD, #1302, BOCA RATON, FL 33496-2055
(248) 672-9325

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS 7758
FL

Other

Enumeration date
03/20/2012
Last updated
03/20/2012
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