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Individual

DR. EMMELINE DUNQUE BLANKENBICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1950 LEE RD, SUITE 105, WINTER PARK, FL 32789
(407) 647-2346
(407) 647-5431
Mailing address
102 W. PINELOCH AVE, SUITE 23, ORLANDO, FL 32806-6100
(407) 481-7174
(407) 481-7190

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71155
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252586100
FL
01
32227
BCBS
FL
Enumeration date
02/14/2006
Last updated
03/26/2012
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