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Individual

JOHN L BLANKEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2180 N PARK AVE, SUITE 320, WINTER PARK, FL 32789-2359
(407) 629-6440
Mailing address
2180 N PARK AVE, SUITE 320, WINTER PARK, FL 32789-2359
(407) 629-6440

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0050631
FL

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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