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Individual

ERNESTO JOSE BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 SE 3RD AVE STE 200, FORT LAUDERDALE, FL 33316-2521
(954) 764-0921
(954) 467-7432
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 764-0921
(954) 467-7432

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME90706
FL
2080P0205X
Pediatric Endocrinology Physician
Primary
ME90706
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270373400
FL
Enumeration date
04/20/2006
Last updated
04/05/2024
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