Individual
DR. PATRICK A BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5534 BIRCH ST, MILTON, FL 32570-2802
(850) 390-7175
(850) 390-7174
Mailing address
5534 BIRCH ST, MILTON, FL 32570-2802
(850) 390-7175
(850) 390-7174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04 24112
KS
207Q00000X
Family Medicine Physician
39333
AL
207Q00000X
Family Medicine Physician
ME123648
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
ME123648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017313100
—
FL
05
—
100182460B
—
KS
01
—
102202
BLUE CROSS BLUE SHIELD
KS
01
—
14K9W
BCBSFL
FL
Enumeration date
09/22/2006
Last updated
04/22/2025
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