Individual
GREGORY FRANCIS BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25 COLLEGE AVE W, SUITE D, RUSKIN, FL 33570-4701
(813) 886-2020
(813) 886-7222
Mailing address
PO BOX 39, RUSKIN, FL 33575-0039
(813) 886-2020
(813) 886-7222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078925900
—
FL
Enumeration date
05/12/2006
Last updated
06/24/2009
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