Blanco, Ernesto Jose

Blanco, Ernesto Jose is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 200 , Fort Lauderdale FL 33316-2521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Blanco, Ernesto Jose can be contacted via phone (954) 764-0921.

Contact Information

Primary practice address
1625 Se 3Rd Ave Ste 200 Fort Lauderdale FL 33316-2521
Phone: (954) 764-0921
Fax: (954) 467-7432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90706 Florida
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME90706 Florida

Profile Details

NPI number 1316902430
LBN Legal business name Blanco, Ernesto Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 5th, 2024 - about 8 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 1316902430 NPPES
Florida MEDICAID 270373400

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