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Individual

DR. BLONDINE LAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
9771 FOREST DR, MIRAMAR, FL 33025-4414
(305) 763-5829
Mailing address
9771 FOREST DR, MIRAMAR, FL 33025-4414
(305) 763-5829

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11019087
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11019087
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/12/2022
Last updated
07/12/2022
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