Blanco, Antonio E
Blanco, Antonio E is an individual health care provider with primary practice located at 30334 Old Dixie Hwy , Homestead FL 33033-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blanco, Antonio E can be contacted via phone (786) 243-0149.Contact Information
Primary practice address
30334 Old Dixie Hwy
Homestead FL 33033-3215
Phone: (786) 243-0149
Fax: (786) 243-2612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0057421 | Florida |
Profile Details
| NPI number | 1336231562 |
|---|---|
| LBN Legal business name | Blanco, Antonio E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jun 13th, 2013 - about 13 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 | 1336231562 | NPPES |
| Florida | MEDICAID | 001084300 | |
| Florida | MEDICAID | 257737201 |
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