Individual
MR. RENATO FILART BLANCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
601 HAMILTON AVE RM B-158, ST. FRANCIS MEDICAL CENTER OFFICE OF GRADUATE MEDICAL E, TRENTON, NJ 08629-1915
(609) 599-5061
(609) 599-6232
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
133505
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2020
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