Organization
GARY H DIBLASIO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HENRY DIBLASIO M.D. (PRESIDENT/OWNER)
(561) 684-6565
Entity
Organization
Contact information
Practice address
5500 VILLAGE BLVD, STE 101, WEST PALM BEACH, FL 33407-1961
(561) 684-6565
(561) 684-3467
Mailing address
5500 VILLAGE BLVD, STE 101, WEST PALM BEACH, FL 33407-1961
(561) 684-6565
(561) 684-3467
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME74052
FL
Other
Enumeration date
07/27/2010
Last updated
07/28/2010
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