Individual
MARINA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNCP
Contact information
Practice address
3800 SW 128TH AVE, MIAMI, FL 33175-3306
(305) 301-5473
Mailing address
3800 SW 128TH AVE, MIAMI, FL 33175-3306
(305) 301-5473
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11018857
FL
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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