Organization
VNL MEDICAL ASSOCIATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS BLANCO (PRESIDENT)
(305) 262-1128
Entity
Organization
Contact information
Practice address
237 NW 12TH AVE, SUITE A-E, MIAMI, FL 33128-1080
(305) 324-0211
Mailing address
1705 SW 83RD CT, MIAMI, FL 33155-1156
(305) 262-1128
(305) 262-6935
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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