Individual
JOHN BLASI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 646-5500
Mailing address
1607 DELANEY AVE, ORLANDO, FL 32806-3054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/23/2017
Last updated
03/23/2018
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