Individual
EDDY BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 HOLIDAY SPRINGS BLVD APT 208, MARGATE, FL 33063-5418
(954) 278-0971
(305) 414-7957
Mailing address
3110 HOLIDAY SPRINGS BLVD APT 208, MARGATE, FL 33063-5418
(954) 278-0971
(305) 414-7957
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008467400
—
FL
Enumeration date
11/12/2015
Last updated
11/12/2015
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