Individual
MR. ANTONIO MIGUEL BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
692 W 29TH ST STE 8, HIALEAH, FL 33012-5693
(305) 883-3116
Mailing address
692 W 29TH ST STE 8, HIALEAH, FL 33012-5693
(305) 883-3116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11036346
FL
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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