Individual
LUIS E BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4190 S CHAMBERLAIN BLVD, NORTH PORT, FL 34286-2625
(863) 452-7223
Mailing address
4190 S CHAMBERLAIN BLVD, NORTH PORT, FL 34286-2625
(863) 452-7223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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