Individual
FERNAN BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2 G 1, MIAMI, FL 33172-7018
(305) 603-9983
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2 G 1, MIAMI, FL 33172-7018
(305) 603-9983
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
BMO59003
FL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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