Individual
DR. FERNANDO J BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 W 68TH ST, SUITE 200, HIALEAH, FL 33016-1815
(305) 822-7227
(305) 827-6333
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 101850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11827
DIMENSION
FL
01
—
1274120
WELLCARE
FL
01
—
319689
AVMED
FL
01
—
53234
BCBS
FL
01
—
6004889
CIGNA
FL
01
—
7695829
AETNA
FL
01
—
P01601017
RR MEDICARE
FL
01
—
P01718267
SIMPLY
FL
01
—
P1037439
FREEDOM
FL
01
—
P972690
OPTIMUM
FL
Enumeration date
09/27/2006
Last updated
11/09/2016
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