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Individual

MR. JOSE ANTONIO BLAIN-SOLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA/APRN

Contact information

Practice address
651 E 25TH ST, HIALEAH, FL 33013-3814
(305) 693-6100
Mailing address
4750 SW 146TH CT, MIAMI, FL 33175-6888
(305) 898-6210

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9258323
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9258323
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EY042B
MEDICARE PTAN
FL
Enumeration date
01/31/2011
Last updated
01/24/2019
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