Blanco, Suzette Nicole
Blanco, Suzette Nicole is an sole proprietor health care provider with primary practice located at 2685 Executive Park Dr Ste 4 , Weston FL 33331-3651. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Blanco, Suzette Nicole can be contacted via phone (954) 515-0892.Contact Information
Primary practice address
2685 Executive Park Dr Ste 4
Weston FL 33331-3651
Phone: (954) 515-0892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT29979 | Florida |
Profile Details
| NPI number | 1043608193 |
|---|---|
| LBN Legal business name | Blanco, Suzette Nicole |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2014 |
| Last updated | Aug 22nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043608193 | NPPES |
| Florida | MEDICAID | 014078000 |
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