Individual
DR. CATHERINE JEAN BLASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
Mailing address
45TH MEDICAL GROUP, 1381 SOUTH PATRICK DR, PATRICK AFB, FL 32925
(321) 494-8241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.013196
OH
207R00000X
Internal Medicine Physician
OS21383
FL
2083A0100X
Aerospace Medicine Physician
34.013196
OH
208M00000X
Hospitalist Physician
34.013196
OH
208M00000X
Hospitalist Physician
Primary
OS21383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313124
—
OH
05
—
123922200
—
FL
01
—
TO168
MEDICARE HF
FL
Enumeration date
04/22/2012
Last updated
11/21/2024
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