Omar L Blanco PA

NPI 1073565933 - Physician Assistant - 363AS0400X

NPI Details
NPI 1073565933
Gender Male
Enumeration Date 05/17/2006
Last Updated 09/09/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2750 SW 37TH AVE
MIAMI FL, 33133-2764, US
Phone (305) 642-4263
Fax (305) 426-3329
Business Location
2750 SW 37TH AVE
MIAMI FL, 33133-2764, US
Phone (305) 642-4263
Fax (305) 426-3329
Toxanomy
Taxonomy Code 363AS0400X
License State Florida
License Number PA9000004
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According to our database, Mr. Omar L Blanco PA NPI is 1073565933, taxonomy code is 363AS0400X and license number is PA9000004, license state is located at Florida. Omar L Blanco PA physically located at 2750 Sw 37th Ave, Miami FL, 33133-2764. NPI Number Omar L Blanco PA has the Individual type.

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1073565933 NPI number is provided on an as is basis without warranty of any kind. 1073565933 is maintained by the National Plan & Provider Enumeration System. The contents of Omar L Blanco PA are for informational purposes only.