Individual
MERCY BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(786) 441-5361
Mailing address
10661 N KENDALL DR STE 216, MIAMI, FL 33176-1550
(305) 283-3108
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME155491
FL
Other
Enumeration date
05/14/2019
Last updated
02/22/2024
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