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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598727570 | NPPES |
Florida | MEDICAID | 261306900 | |
Florida | Other | 58954Q |
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