Individual
DR. KENNETH R BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2653 STICKNEY POINT RD, SARASOTA, FL 34231-6019
(941) 342-8200
(941) 342-8201
Mailing address
2653 STICKNEY POINT RD, SARASOTA, FL 34231-6019
(941) 342-8200
(941) 342-8201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME48742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043456600
—
FL
01
—
47815
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/12/2005
Last updated
10/10/2011
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