Individual
DR. LUIS A BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8752 SW 8TH ST, MIAMI, FL 33174-3201
(305) 554-0044
(855) 877-3685
Mailing address
8752 SW 8TH ST, MIAMI, FL 33174-3201
(305) 554-0044
(305) 554-4406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME49234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269978800
—
FL
Enumeration date
04/25/2007
Last updated
11/04/2022
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