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Individual

WILFREDO BLASINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2848 CENTER POINTE DR STE A, FORT MYERS, FL 33916-9521
(239) 561-9622
(239) 768-5297
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPT, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
ME102349
FL
207ZH0000X
Hematology (Pathology) Physician
18357
PR
207ZH0000X
Hematology (Pathology) Physician
ME102349
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18357
PR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME102349
FL
208D00000X
General Practice Physician
18357
PR
208D00000X
General Practice Physician
ME102349
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003543100
FL
Enumeration date
06/01/2007
Last updated
03/04/2026
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