Bilasano, Vivian Blanquisco

Bilasano, Vivian Blanquisco is an sole proprietor health care provider with primary practice located at 1951 Sw 172Nd Ave Suite 312, Miramar FL 33029-5593. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bilasano, Vivian Blanquisco can be contacted via phone (954) 320-7999.

Contact Information

Primary practice address
1951 Sw 172Nd Ave Suite 312 Miramar FL 33029-5593
Phone: (954) 320-7999
Fax: (954) 320-7601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 77619 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME77619 Florida

Profile Details

NPI number 1821002825
LBN Legal business name Bilasano, Vivian Blanquisco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821002825 NPPES
Florida MEDICAID 257505100
Florida Other 49944
Florida Other ME 77619

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