Individual
DR. KATTIA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 S FLA ST, BUSHNELL, FL 33513-6703
(404) 775-4390
Mailing address
2238 SOUTHWOOD DR, THE VILLAGES, FL 32162-3845
(404) 775-4390
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1642
FL
Other
Enumeration date
02/23/2023
Last updated
08/21/2024
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