Individual
DR. GARY HENRY DIBLASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 NORTHLAKE BLVD, SUITE 208, NORTH PALM BEACH, FL 33408-5215
(561) 863-2828
(561) 863-2814
Mailing address
701 NORTHLAKE BLVD, SUITE 208, NORTH PALM BEACH, FL 33408-5215
(561) 863-2828
(561) 863-2814
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME74052
FL
Other
Enumeration date
06/12/2006
Last updated
10/06/2011
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