Individual
CARLOS JAVIER BLANCO
Active
Individual
CARLOS JAVIER BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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