Organization
DR. JESSICA BLANCO OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BLANCO OD (PRESIDENT)
(305) 582-2598
Entity
Organization
Contact information
Practice address
9646 SW 24TH ST, MIAMI, FL 33165-8015
(305) 846-9158
Mailing address
8952 GRAND CANAL DR, MIAMI, FL 33174-2305
(305) 582-2598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4746
FL
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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