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Individual

ANNE M BLENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 N FEDERAL HWY, SUITE 104, POMPANO BEACH, FL 33062-1034
(954) 782-0010
(954) 781-2139
Mailing address
1800 N FEDERAL HWY, SUITE 104, POMPANO BEACH, FL 33062-1034
(954) 782-0010
(954) 781-2139

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME08073
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
065655100
FL
Enumeration date
04/17/2006
Last updated
02/27/2013
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