Alice Blavo D.O.

NPI 1053309617 - Pediatrics - 208000000X

NPI Details
NPI 1053309617
Gender Female
Enumeration Date 10/07/2005
Last Updated 03/25/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
5955 PONCE DE LEON BLVD
CORAL GABLES FL, 33146-2423, US
Phone (305) 662-8668
Fax (305) 662-3723
Business Location
5955 PONCE DE LEON BLVD
CORAL GABLES FL, 33146-2423, US
Phone (305) 662-8668
Fax (305) 662-3723
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number OS7055
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According to our database, Alice Blavo D.O. NPI is 1053309617, taxonomy code is 208000000X and license number is OS7055, license state is located at Florida. Alice Blavo D.O. physically located at 5955 Ponce De Leon Blvd, Coral Gables FL, 33146-2423. NPI Number Alice Blavo D.O. has the Individual type.

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1053309617 NPI number is provided on an as is basis without warranty of any kind. 1053309617 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Blavo D.O. are for informational purposes only.