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Individual

DR. CYRIL BLAVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 937-6764
(954) 262-1172
Mailing address
3200 S UNIVERSITY DR, ASSEMBLY BUIDLING 2, SUITE 202, DAVIE, FL 33328-2018
(954) 262-4346
(954) 262-1172

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS5458
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254585300
FL
Enumeration date
08/28/2006
Last updated
07/12/2011
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