Organization
JOHNSON MEDICAL CENTER
Active
Other names
Jose E Blandon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE EDGARDO BLANDON MD (PHYSICIAN)
(954) 962-5300
Entity
Organization
Contact information
Practice address
6517 TAFT STREET, HOLLYWOOD, FL 33024-4048
(954) 962-5300
(954) 962-0100
Mailing address
6517 TAFT STREET, HOLLYWOOD, FL 33024-4048
(954) 962-5300
(954) 962-0100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME45622
FL
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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