Individual
JENYFEER BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7605 N STATE ROAD 7, PARKLAND, FL 33073-3504
(954) 315-5780
(354) 346-4182
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 967-6400
(317) 944-5791
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME164955
FL
2080P0201X
Pediatric Allergy/Immunology Physician
01085977A
IN
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME164955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508362328
—
MS
Enumeration date
04/02/2018
Last updated
01/23/2024
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