Blaine, Germaine M

Blaine, Germaine M is an individual health care provider with primary practice located at 1130 Hickory St Ste B , Melbourne FL 32901. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Blaine, Germaine M can be contacted via phone (321) 361-5602.

Contact Information

Primary practice address
1130 Hickory St Ste B Melbourne FL 32901
Phone: (321) 361-5602
Fax: (321) 952-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME78051 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME78051 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME78051 Florida

Profile Details

NPI number 1598727570
LBN Legal business name Blaine, Germaine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 14th, 2024 - about 10 months 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 1598727570 NPPES
Florida MEDICAID 261306900
Florida Other 58954Q

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