Blanton, George

Blanton, George is an individual health care provider with primary practice located at 4855 W Hillsboro Blvd Suite B2, Coconut Creek FL 33073-4356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blanton, George can be contacted via phone (954) 418-1683.

Contact Information

Primary practice address
4855 W Hillsboro Blvd Suite B2 Coconut Creek FL 33073-4356
Phone: (954) 418-1683
Fax: (954) 418-1698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS3719 Florida

Profile Details

NPI number 1730168683
LBN Legal business name Blanton, George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 5th, 2015 - about 11 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 1730168683 NPPES
Florida Other 82816 BCBS
Florida Other P00150300 BCBS
Florida MEDICAID 046510101 BCBS

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