Blasko, Dana
Blasko, Dana is an individual health care provider with primary practice located at 10150 Hagen Ranch Rd Ste 100 , Boynton Beach FL 33437-3776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blasko, Dana can be contacted via phone (305) 558-3724.Contact Information
Primary practice address
10150 Hagen Ranch Rd Ste 100
Boynton Beach FL 33437-3776
Phone: (305) 558-3724
Fax: (786) 907-4485
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA003475 | Florida |
Profile Details
NPI number | 1184786592 |
---|---|
LBN Legal business name | Blasko, Dana |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 14th, 2006 |
Last updated | Sep 18th, 2023 - about last year |
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 | 1184786592 | NPPES |
Florida | Other | PA003475 | PA LICENSE |
Florida | MEDICAID | 290633300 | PA LICENSE |
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