Individual
RAUL BLANCO AZCUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6517 TAFT ST, HOLLYWOOD, FL 33024-4062
(954) 218-5751
(954) 708-1391
Mailing address
8333 NW 53RD ST FL 6, DORAL, FL 33166-4783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
Primary
ACN1354
FL
208D00000X
General Practice Physician
Primary
ACN1354
FL
390200000X
Student in an Organized Health Care Education/Training Program
15224-I
PR
Other
Enumeration date
03/13/2013
Last updated
07/02/2026
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