Organization
LAURIE E. BLACH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE E BLACH MD (OWNER)
(786) 202-3051
Entity
Organization
Contact information
Practice address
6129 SW 70TH ST, SOUTH MIAMI, FL 33143-3451
(786) 871-6800
(786) 871-6801
Mailing address
PO BOX 565338, MIAMI, FL 33256-5338
(305) 218-4128
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME68778
FL
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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