Individual
DR. RANDALL DAVID BLINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11440 SW 88TH ST, STE 111, MIAMI, FL 33176-1024
(305) 279-2840
(305) 279-2644
Mailing address
11440 SW 88TH ST, STE 111, MIAMI, FL 33176-1024
(305) 279-2840
(305) 279-2644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0063265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379628100
—
FL
Enumeration date
06/24/2005
Last updated
11/01/2013
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