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Individual

MR. BLEDAR GJINOLLARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
18669 TAMIAMI TRL, STE B, NORTH PORT, FL 34287-7388
(941) 423-5040
Mailing address
18669 TAMIAMI TRL, STE B, NORTH PORT, FL 34287-7388
(941) 423-5040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115420
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113257400
FL
Enumeration date
01/19/2022
Last updated
02/10/2026
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