Individual
LUIS EDUARDO BLANDON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-4434
Mailing address
15024 SW 57TH ST, MIAMI, FL 33193-2455
(786) 399-5729
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11036837
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2024
Last updated
03/06/2025
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