Individual
CARLOS JAVIER BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE STE 310, ORLANDO, FL 32804-4642
(407) 303-2001
Mailing address
2501 N ORANGE AVE STE 310, ORLANDO, FL 32804-4642
(407) 303-2001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME111671
FL
2080P0202X
Pediatric Cardiology Physician
57 014261
OH
2080P0202X
Pediatric Cardiology Physician
E-6685
AR
2080P0202X
Pediatric Cardiology Physician
Primary
ME111671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004344300
—
FL
01
—
ME111671
MEDICAL LICENSE
FL
Enumeration date
07/02/2008
Last updated
01/27/2023
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