Blazina, Anna Colleen

Blazina, Anna Colleen is an sole proprietor health care provider with primary practice located at 206 Ridgewood Ave , Brandon FL 33510-4617. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Blazina, Anna Colleen can be contacted via phone (813) 662-1060.

Contact Information

Primary practice address
206 Ridgewood Ave Brandon FL 33510-4617
Phone: (813) 662-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1649577032
LBN Legal business name Blazina, Anna Colleen
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2011
Last updated Jan 22nd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649577032 NPPES
Florida MEDICAID 003400700

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