Organization
ROBERT C. BIANCO, MD, PA
Active
Organization
ROBERT C. BIANCO, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BIANCO RN (MANAGER)
(386) 446-2305
Entity
Organization
Contact information
Practice address
14 OFFICE PARK DR, SUITE 1, PALM COAST, FL 32137-3864
(386) 446-2305
(386) 446-1043
Mailing address
14 OFFICE PARK DR, SUITE 1, PALM COAST, FL 32137-3864
(386) 446-2305
(386) 446-1043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0057906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10569
BCBS OF FLORIDA
GU
Enumeration date
08/28/2007
Last updated
03/15/2012
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