Individual
BENROE W BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 N FLORIDA AVE, LAKELAND, FL 33801-4902
(863) 209-7003
(863) 284-3083
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5742
(305) 831-4761
(305) 831-4761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME123575
FL
Other
Enumeration date
09/14/2006
Last updated
02/17/2017
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