Organization
BLEND INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BLEND M.D. (MANAGING MEMBER)
(941) 722-5600
Entity
Organization
Contact information
Practice address
1911 MANATEE AVE E, SUITE 102, BRADENTON, FL 34208-1562
(941) 722-5600
(941) 722-5644
Mailing address
1911 MANATEE AVE E, SUITE 102, BRADENTON, FL 34208-1562
(941) 722-5600
(941) 722-5644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME62136
FL
Other
Enumeration date
01/26/2010
Last updated
04/04/2013
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