Individual
ERNEST BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 NE 4TH ST, FT LAUDERDALE, FL 33301-1151
(954) 453-6462
Mailing address
401 NE 4TH ST, FT LAUDERDALE, FL 33301-1151
(954) 453-6462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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