Individual
DR. GEORGE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4855 W HILLSBORO BLVD, SUITE B2, COCONUT CREEK, FL 33073-4356
(954) 418-1683
(954) 418-1698
Mailing address
8284 GENOVA WAY, LAKE WORTH, FL 33467-5227
(561) 386-1959
(954) 418-1698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS3719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046510101
—
FL
01
—
82816
BCBS
FL
01
—
P00150300
RRMCR
FL
Enumeration date
01/10/2006
Last updated
03/05/2015
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