Individual
MS. BONNIE BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4920 SW 77TH ST, MIAMI, FL 33143-6053
(305) 666-6511
(305) 669-6438
Mailing address
4920 SW 77TH ST, MIAMI, FL 33143-6053
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
ARNP3351907
FL
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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