Individual
DONALD L BLACKMON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 N DAVIS HWY, SUITE 5, PENSACOLA, FL 32504-6994
(850) 471-2121
(850) 471-2120
Mailing address
6160 N DAVIS HWY, SUITE 5, PENSACOLA, FL 32504-6994
(850) 471-2121
(850) 471-2120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME48954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037239200
—
FL
01
—
17667
BCBS
FL
Enumeration date
07/28/2006
Last updated
05/28/2015
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