Individual
ANAMARYS BLANCO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST FL CENTER5, JACKSONVILLE, FL 32209-6511
(904) 244-3932
(904) 244-3629
Mailing address
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5784
(904) 819-5155
(352) 273-8889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME172961
FL
207RC0000X
Cardiovascular Disease Physician
ME172961
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME172961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127951200
—
FL
Enumeration date
04/11/2018
Last updated
09/17/2025
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