Blatt, Marc Benjamin
Blatt, Marc Benjamin is an individual health care provider with primary practice located at 8773 Perimeter Park Ct , Jacksonville FL 32216-1165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Blatt, Marc Benjamin can be contacted via phone (904) 493-3390.Contact Information
Primary practice address
8773 Perimeter Park Ct
Jacksonville FL 32216-1165
Phone: (904) 493-3390
Fax: (904) 493-3395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS7862 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS7862 | Florida |
Profile Details
| NPI number | 1861498131 |
|---|---|
| LBN Legal business name | Blatt, Marc Benjamin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 4th, 2016 - about 9 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 | 1861498131 | NPPES |
| Florida | Other | 2610299-00 | MEDICAID - GROUP |
| Florida | Other | 195802 | MEDICAID - GROUP |
| Florida | Other | 110220691 | MEDICAID - GROUP |
| Florida | Other | 03058Z | MEDICAID - GROUP |
| Florida | Other | 03058 | MEDICAID - GROUP |
| Florida | Other | 2615959-00 | MEDICAID - GROUP |
| Florida | Other | 278741 | MEDICAID - GROUP |
| Florida | Other | 45681 | MEDICAID - GROUP |
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