Individual
DR. BLAS Y BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-8601
Mailing address
PO BOX 100221, GAINESVILLE, FL 32610-0221
(352) 392-8601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0081723
MD
207RR0500X
Rheumatology Physician
Primary
ME141546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104667000
—
FL
Enumeration date
06/17/2014
Last updated
01/24/2020
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