Blanco, Antonio E

Blanco, Antonio E is an individual health care provider with primary practice located at 30334 Old Dixie Hwy , Homestead FL 33033-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blanco, Antonio E can be contacted via phone (786) 243-0149.

Contact Information

Primary practice address
30334 Old Dixie Hwy Homestead FL 33033-3215
Phone: (786) 243-0149
Fax: (786) 243-2612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0057421 Florida

Profile Details

NPI number 1336231562
LBN Legal business name Blanco, Antonio E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jun 13th, 2013 - about 11 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 1336231562 NPPES
Florida MEDICAID 001084300
Florida MEDICAID 257737201

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