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Individual

DR. BARRY F BLACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6650 SUNSET WAY APT 217, ST PETE BEACH, FL 33706-2176
(727) 360-9666
(727) 360-9666
Mailing address
6650 SUNSET WAY APT 217, ST PETE BEACH, FL 33706-2176
(727) 360-9666
(727) 360-9666

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME19217
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME19217
STATE LICENCE
FL
Enumeration date
01/09/2009
Last updated
01/09/2009
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