Individual
MS. ERICA BLAISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1181 LAKEPOINTE LN, PLANTATION, FL 33322-5791
(754) 246-5499
(954) 753-5680
Mailing address
1181 LAKEPOINTE LN, PLANTATION, FL 33322-5791
(754) 246-5499
(954) 753-5680
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
RT5325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885359200
—
FL
Enumeration date
08/01/2005
Last updated
09/09/2011
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