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Individual

DR. CARY WILLIAM BLAZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-0001
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85331
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265443100
FL
01
51473
BCBS
FL
Enumeration date
06/06/2006
Last updated
08/24/2018
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