Individual
JOSE A. BLANCO-POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
225 E ROBINSON ST, SUITE 130, ORLANDO, FL 32801-4322
(407) 581-9180
(865) 560-7066
Mailing address
PO BOX 4918, ORLANDO, FL 32802-4918
(407) 581-9180
(865) 560-7066
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9193364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050246 00
—
FL
01
—
G3176
BCBS
FL
Enumeration date
07/16/2006
Last updated
12/21/2016
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