Individual
BLESILDA HIDALGO OLFATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5401 SAWYER ROAD, SARASOTA, FL 34233
(941) 925-3427
(941) 925-8469
Mailing address
PO BOX 18839, SARASOTA, FL 34276-1839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504916101
—
FL
01
—
31256
BLUE SHIELD
FL
01
—
P00011873
RR MEDICARE
FL
Enumeration date
11/01/2006
Last updated
07/08/2007
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