Individual
DR. CATHERINE MARY BLACKBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3951 NW 48THTERRACE, SUITE 101, GAINESVILLE, FL 32606-7229
(352) 265-5230
(352) 265-5230
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 338-2195
(352) 338-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME90058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270104900
—
FL
01
—
44159Z
MEDICARE ID
FL
Enumeration date
07/26/2006
Last updated
05/01/2013
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