Individual
DR. ADOLFO F BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11255 SW 211TH ST, MIAMI, FL 33189-2240
(305) 278-0200
(786) 235-0145
Mailing address
11255SW211TH ST, MIAMI, FL 33189-2240
(305) 278-0200
(305) 851-4110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME67714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04362877
ECFMG
FL
05
—
377319100
—
FL
Enumeration date
10/04/2006
Last updated
03/07/2023
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