Individual
LUIS ENRIQUE BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3379 W 94TH TER, HIALEAH GARDENS, FL 33018-2078
(786) 329-0182
Mailing address
3379 W 94TH TER, HIALEAH GARDENS, FL 33018-2078
(786) 329-0182
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9490394
FL
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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